Indiana
Professional Licensing Agency
Gwen Marie Behm
Controlled Substance Registration-Physician Assistant
License number
10001472B
Date granted
12/07/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Franciscan Physician Network, 3831 Hohman Avenue, Hammond IN 46327
indianalicensing.org
ID 8386895
LAST UPDATED 2024-03-24 06:34:21 UTC
LAST UPDATED 2024-03-24 06:34:21 UTC
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