Indiana
Professional Licensing Agency
Jamie Lou Vanderwielen
Controlled Substance Registration-Physician Assistant
License number
10000946B
Date granted
08/29/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
395 Westfield Road, Noblesville IN 46060
indianalicensing.org
ID 8388188
LAST UPDATED 2024-03-24 07:55:16 UTC
LAST UPDATED 2024-03-24 07:55:16 UTC
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