Indiana
Professional Licensing Agency
Amanda Marie Via
Physician Assistant
License number
10001302A
Date granted
07/28/2011
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Carmel IN 46032
indianalicensing.org
ID 8389173
LAST UPDATED 2024-03-19 13:39:25 UTC
LAST UPDATED 2024-03-19 13:39:25 UTC
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