Indiana
Professional Licensing Agency
Deborah Storm Roese
Physician Assistant
License number
10000793A
Date granted
09/14/2005
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Columbus IN 47201
indianalicensing.org
ID 8389375
LAST UPDATED 2024-04-12 15:39:46 UTC
LAST UPDATED 2024-04-12 15:39:46 UTC
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