Indiana
Professional Licensing Agency
Brianne E. Ancich
Controlled Substance Registration-Physician Assistant
License number
10000819B
Date granted
02/29/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1260 Innovation Parkway, Suite 100, Greenwood IN 46143
indianalicensing.org
ID 8386846
LAST UPDATED 2024-03-05 11:39:10 UTC
LAST UPDATED 2024-03-05 11:39:10 UTC
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