Indiana
Professional Licensing Agency
Carolyn M. Barbus
Controlled Substance Registration-Physician Assistant
License number
10000240B
Date granted
10/26/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Valley Emergency Physicians, 5215 Holy Cross Pkwy., Mishawaka IN 46545
indianalicensing.org
ID 8387925
LAST UPDATED 2024-03-20 22:42:23 UTC
LAST UPDATED 2024-03-20 22:42:23 UTC
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