Indiana
Professional Licensing Agency
Jaime Lee Cormier
Controlled Substance Registration-Physician Assistant
License number
10001274B
Date granted
06/29/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Vincent Medical Group, Inc, 8333 Naab Rd., Suite 400, Indianapolis IN 46260
indianalicensing.org
ID 8387170
LAST UPDATED 2024-02-27 15:18:49 UTC
LAST UPDATED 2024-02-27 15:18:49 UTC
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