Indiana
Professional Licensing Agency
Jessica Alyse Haisley
Controlled Substance Registration-Physician Assistant
License number
10001561B
Date granted
09/27/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
165 Sheridan Road, Noblesville IN 46060
indianalicensing.org
ID 8388192
LAST UPDATED 2024-02-04 15:49:56 UTC
LAST UPDATED 2024-02-04 15:49:56 UTC
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