Indiana
Professional Licensing Agency
Jordan Rebecca Hollander
Controlled Substance Registration-Physician Assistant
License number
10001350B
Date granted
01/25/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Northside Adult & Pediatric Care of IUHP, 11725 N Illinois Street, Ste 250, Carmel IN 46032
indianalicensing.org
ID 8386035
LAST UPDATED 2024-04-04 15:59:34 UTC
LAST UPDATED 2024-04-04 15:59:34 UTC
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