Indiana
Professional Licensing Agency
Jacqueline Eileen Davis
Controlled Substance Registration-Physician Assistant
License number
10001762B
Date granted
10/31/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Pomeroy and Rhoads Orthopaedics PIIC-Advanced Regional Surg, Missouri Avenue #19A, Jeffersonville IN 47130
indianalicensing.org
ID 29179913
LAST UPDATED 2024-03-27 02:40:07 UTC
LAST UPDATED 2024-03-27 02:40:07 UTC
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