Indiana
Professional Licensing Agency
Elizabeth Alice Koch
Controlled Substance Registration-Physician Assistant
License number
10001175B
Date granted
06/15/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Hind General Hospital, 101 W. 61st Street, Hobart IN 46342
indianalicensing.org
ID 8386964
LAST UPDATED 2024-02-29 07:15:22 UTC
LAST UPDATED 2024-02-29 07:15:22 UTC
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