Indiana
Professional Licensing Agency
Dennis A. Isenhower
Controlled Substance Registration-Physician Assistant
License number
10001154B
Date granted
01/29/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
1155 West Third Street, Bloomington IN 47404
indianalicensing.org
ID 8385844
LAST UPDATED 2024-04-01 00:26:05 UTC
LAST UPDATED 2024-04-01 00:26:05 UTC
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