License holder summary

Dina G Palmer is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Dina G Palmer is The LiveLight Clinic, 12050 N. Michigan Rd, Zionsville IN 46077. This licensed professional license is current. The license was granted 05/04/2012 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Dina G Palmer
Controlled Substance Registration-Physician Assistant
License number
10001245B
Date granted
05/04/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
The LiveLight Clinic, 12050 N. Michigan Rd, Zionsville IN 46077
indianalicensing.org
ID 8387119
LAST UPDATED 2024-02-08 02:02:15 UTC

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