Indiana
Professional Licensing Agency
Jessica Ann Markiewicz
Controlled Substance Registration-Physician Assistant
License number
10000715B
Date granted
01/25/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Lafayette Emergency Care, 114 Executive Drive, Ste E, Lafayette IN 47905
indianalicensing.org
ID 8387675
LAST UPDATED 2024-04-21 16:01:23 UTC
LAST UPDATED 2024-04-21 16:01:23 UTC
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