Indiana
Professional Licensing Agency
Jessica L. Clouser
Controlled Substance Registration-Physician Assistant
License number
10001227B
Date granted
06/18/2012
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Lakeshore Bone & Joint Institute, 601 Gateway Blvd. N., Chesterton IN 46304
indianalicensing.org
ID 8386084
LAST UPDATED 2024-05-15 01:59:23 UTC
LAST UPDATED 2024-05-15 01:59:23 UTC
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