Indiana
Professional Licensing Agency
Deanna L. Taylor
Controlled Substance Registration-Physician Assistant
License number
10000993B
Date granted
05/29/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Dermatology Center of Southern Indiana, PC, 1200 South Rogers St., Bloomington IN 47403
indianalicensing.org
ID 8385832
LAST UPDATED 2024-04-03 10:43:55 UTC
LAST UPDATED 2024-04-03 10:43:55 UTC
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