Indiana
Professional Licensing Agency
Jessica Lee Kauth
Controlled Substance Registration-Physician Assistant
License number
10001170B
Date granted
05/28/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Community Hospital, 901 Mac Arthur Blvd, Munster IN 46321
indianalicensing.org
ID 8388080
LAST UPDATED 2024-04-21 18:46:17 UTC
LAST UPDATED 2024-04-21 18:46:17 UTC
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