Indiana
Professional Licensing Agency
Christa Nicole Heckman
Controlled Substance Registration-Physician Assistant
License number
10000762B
Date granted
03/28/2008
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
707 N Michigan Suite 501, South Bend IN 46601
indianalicensing.org
ID 8388517
LAST UPDATED 2024-04-17 12:12:06 UTC
LAST UPDATED 2024-04-17 12:12:06 UTC
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