Indiana
Professional Licensing Agency
Cynthia Dawn Holloway
Controlled Substance Registration-Physician Assistant
License number
10000809B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
IU West Hospital, 1111 Ronald Reagan Parkway, Avon IN 46123
indianalicensing.org
ID 8385744
LAST UPDATED 2024-02-23 10:19:26 UTC
LAST UPDATED 2024-02-23 10:19:26 UTC
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