Indiana
Professional Licensing Agency
Jill C. Pease
Controlled Substance Registration-Physician Assistant
License number
10000824B
Date granted
01/25/2008
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Lafayette Orthopaedic Clinic, 1411 S. Creasy Lane, Suite 120, Lafayette IN 47905
indianalicensing.org
ID 8387678
LAST UPDATED 2024-03-12 03:43:30 UTC
LAST UPDATED 2024-03-12 03:43:30 UTC
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