Indiana
Professional Licensing Agency
Caitlyn G. Prucinsky
Controlled Substance Registration-Physician Assistant
License number
10000698B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1801 N Senate Blvd., Indianapolis IN 46202
indianalicensing.org
ID 8387081
LAST UPDATED 2024-04-01 02:22:56 UTC
LAST UPDATED 2024-04-01 02:22:56 UTC
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