Indiana
Professional Licensing Agency
Benjamin L. Schrock
Controlled Substance Registration-Physician Assistant
License number
10001294B
Date granted
08/24/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
2001 W. 86th St., Indianapolis IN 46260
indianalicensing.org
ID 8386460
LAST UPDATED 2024-02-16 11:45:21 UTC
LAST UPDATED 2024-02-16 11:45:21 UTC
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