Indiana
Professional Licensing Agency
Joel Wayne Coots
Controlled Substance Registration-Physician Assistant
License number
10001120B
Date granted
09/02/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1500 Provident Drive, Suite A, Warsaw IN 46580
indianalicensing.org
ID 8388736
LAST UPDATED 2024-04-14 08:58:27 UTC
LAST UPDATED 2024-04-14 08:58:27 UTC
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