Indiana
Professional Licensing Agency
Charles L. Copeland
Controlled Substance Registration-Physician Assistant
License number
10001185B
Date granted
01/27/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1500 Provident Drive, Suite A, Warsaw IN 46580-4128
indianalicensing.org
ID 8388721
LAST UPDATED 2024-04-24 02:49:39 UTC
LAST UPDATED 2024-04-24 02:49:39 UTC
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