Indiana
Professional Licensing Agency
Amy K. Mulcahy
Controlled Substance Registration-Physician Assistant
License number
10000660B
Date granted
03/28/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
801 MacArthur Blvd, Suite 203, Munster IN 46321
indianalicensing.org
ID 8388048
LAST UPDATED 2024-02-05 11:57:58 UTC
LAST UPDATED 2024-02-05 11:57:58 UTC
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