Indiana
Professional Licensing Agency
Courtney Anne Keller
Controlled Substance Registration-Physician Assistant
License number
10000776B
Date granted
02/03/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
1 Caylor-Nickle Clinic Square, Bluffton IN 46714
indianalicensing.org
ID 8385876
LAST UPDATED 2024-03-31 03:33:50 UTC
LAST UPDATED 2024-03-31 03:33:50 UTC
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