Indiana
Professional Licensing Agency
Jodi Ann Hettermann Blume
Controlled Substance Registration-Physician Assistant
License number
10000571B
Date granted
05/15/2008
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Indiana Spine Group, PC, 2101 Jackson Street, Suite 203, Anderson IN 46016
indianalicensing.org
ID 8385664
LAST UPDATED 2024-02-09 15:21:34 UTC
LAST UPDATED 2024-02-09 15:21:34 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.