Indiana
Professional Licensing Agency
Carrie Gentry Klingman
Controlled Substance Registration-Physician Assistant
License number
10000537B
Date granted
09/28/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
8111 South Emerson Avenue, Indianapolis IN 46237
indianalicensing.org
ID 8385780
LAST UPDATED 2024-03-20 09:59:29 UTC
LAST UPDATED 2024-03-20 09:59:29 UTC
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