Indiana
Professional Licensing Agency
Anna Rose Modansky
Controlled Substance Registration-Physician Assistant
License number
10001279B
Date granted
06/29/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Francis Emergency Dept; EPI, 8111 South Emerson Avenue, Indianapolis IN 46237
indianalicensing.org
ID 8387048
LAST UPDATED 2024-04-16 23:00:15 UTC
LAST UPDATED 2024-04-16 23:00:15 UTC
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