Indiana
Professional Licensing Agency
Heather Christine Upchurch
Controlled Substance Registration-Physician Assistant
License number
10000889B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Dermatology Center of NW Indiana, 70 W 94th Place, Crown Point IN 46307
indianalicensing.org
ID 8386180
LAST UPDATED 2024-05-08 19:54:50 UTC
LAST UPDATED 2024-05-08 19:54:50 UTC
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