Indiana
Professional Licensing Agency
Evan Mills Burgart
Controlled Substance Registration-Physician Assistant
License number
10001315B
Date granted
12/07/2012
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
10110 Don Powers Dr., Suite 202, Munster IN 46321
indianalicensing.org
ID 8388056
LAST UPDATED 2024-03-09 22:37:44 UTC
LAST UPDATED 2024-03-09 22:37:44 UTC
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