Indiana
Professional Licensing Agency
Erica Lynn Childress
Controlled Substance Registration-Physician Assistant
License number
10001187B
Date granted
06/29/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
NEED Address, Greenwood IN 46142
indianalicensing.org
ID 8386855
LAST UPDATED 2024-05-10 16:55:55 UTC
LAST UPDATED 2024-05-10 16:55:55 UTC
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