Indiana
Professional Licensing Agency
Jacynda Leigh Lavanture
Controlled Substance Registration-Physician Assistant
License number
10000900B
Date granted
01/25/2008
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Midwest Cardiovascular Specialist, 500 Arcade Blvd, Suite 400, Elkhart IN 46514
indianalicensing.org
ID 8386302
LAST UPDATED 2024-04-21 08:33:01 UTC
LAST UPDATED 2024-04-21 08:33:01 UTC
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