Indiana
Professional Licensing Agency
Jennifer Marie Cyrzan
Controlled Substance Registration-Physician Assistant
License number
10001116B
Date granted
08/27/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Raphael Health Center, 401 E. 34th Street, Indianapolis IN 46205
indianalicensing.org
ID 8387217
LAST UPDATED 2024-04-29 10:34:40 UTC
LAST UPDATED 2024-04-29 10:34:40 UTC
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