Indiana
Professional Licensing Agency
Jennifer C. Clemente-Metz
Controlled Substance Registration-Physician Assistant
License number
10000891B
Date granted
12/18/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
First Stop Urgent Care Madision PSC, 311 East Clifty Drive, Madison IN 47250
indianalicensing.org
ID 29179974
LAST UPDATED 2024-05-16 10:34:58 UTC
LAST UPDATED 2024-05-16 10:34:58 UTC
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