Indiana
Professional Licensing Agency
Carolyn Avau Montgomery
Controlled Substance Registration-Physician Assistant
License number
10000785B
Date granted
09/02/2008
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
St. Mary's Occupational Medicine, 2330 Lynch Road, Evansville IN 47711
indianalicensing.org
ID 8386332
LAST UPDATED 2024-03-30 04:09:14 UTC
LAST UPDATED 2024-03-30 04:09:14 UTC
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