Indiana
Professional Licensing Agency
Jeanette Shelton Anderson
Controlled Substance Registration-Physician Assistant
License number
10000408B
Date granted
12/05/2008
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Kentland Clinic, 303 N. 7th Kentland, Kentland IN 47951
indianalicensing.org
ID 8387567
LAST UPDATED 2024-02-15 16:16:28 UTC
LAST UPDATED 2024-02-15 16:16:28 UTC
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