License holder summary

Carolyn Avau Montgomery is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Carolyn Avau Montgomery is St. Mary's Occupational Medicine, 2330 Lynch Road, Evansville IN 47711. This licensed professional license is not current. The license was granted 09/02/2008 and expired on 06/30/2010.

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

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