Indiana
Professional Licensing Agency
Jonathan R C Green
Controlled Substance Registration-Physician Assistant
License number
10000335B
Date granted
09/28/2007
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
St Mary's Occupational Medicine Clinic, 2330 Lynch Rd, Evansville IN 47711
indianalicensing.org
ID 8386355
LAST UPDATED 2024-04-08 02:44:42 UTC
LAST UPDATED 2024-04-08 02:44:42 UTC
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