Indiana
Professional Licensing Agency
Jeanette Carolyn Alcorn
Controlled Substance Registration-Physician Assistant
License number
10001343B
Date granted
12/07/2012
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Goodman Campbell Brain and Spine, 355 W. 16th Street Suite 5100, Indianapolis IN 46202
indianalicensing.org
ID 8387184
LAST UPDATED 2024-02-26 10:39:43 UTC
LAST UPDATED 2024-02-26 10:39:43 UTC
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