Indiana
Professional Licensing Agency
Ashley Noelle Therasse
Controlled Substance Registration - Physician
License number
01074003B
Date granted
06/02/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Regional Hospital, 85 E 05-06, Valparaiso IN 46383
indianalicensing.org
ID 27721356
LAST UPDATED 2024-03-26 12:32:03 UTC
LAST UPDATED 2024-03-26 12:32:03 UTC
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