Indiana
Professional Licensing Agency
James Michael Diekema
Controlled Substance Registration-Physician Assistant
License number
10001168B
Date granted
05/28/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 8388529
LAST UPDATED 2024-04-24 23:59:09 UTC
LAST UPDATED 2024-04-24 23:59:09 UTC
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