Indiana
Professional Licensing Agency
Andrea L. Boyd
Controlled Substance Registration-Physician Assistant
License number
10001081B
Date granted
04/27/2009
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
IMH Kentland Clinic, 303 N. Seventh St., Kentland IN 47951
indianalicensing.org
ID 8387569
LAST UPDATED 2024-06-12 09:19:05 UTC
LAST UPDATED 2024-06-12 09:19:05 UTC
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