Indiana
Professional Licensing Agency
John Loring Kittredge
Controlled Substance Registration-Physician Assistant
License number
10001005B
Date granted
07/15/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Michiana, Spine, Sports & Occupational Rehab, 3740 Edison Lakes Parkway, Mishawaka IN 46545
indianalicensing.org
ID 8387937
LAST UPDATED 2024-04-22 17:58:47 UTC
LAST UPDATED 2024-04-22 17:58:47 UTC
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