Indiana
Professional Licensing Agency
Jason R. Wolf
Controlled Substance Registration-Physician Assistant
License number
10001229B
Date granted
02/24/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Lakeshore Bone & Joint Institute, 601 Gateway Blvd. N., Chesterton IN 46304
indianalicensing.org
ID 8386083
LAST UPDATED 2024-04-10 14:45:29 UTC
LAST UPDATED 2024-04-10 14:45:29 UTC
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