Indiana
Professional Licensing Agency
John Mark Hannaford
Controlled Substance Registration-Physician Assistant
License number
10000922C
Date granted
03/28/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
American Health Network, 5501 W Bethel Avenue, Muncie IN 47304
indianalicensing.org
ID 8388027
LAST UPDATED 2024-04-04 14:37:58 UTC
LAST UPDATED 2024-04-04 14:37:58 UTC
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