Indiana
Professional Licensing Agency
Julie Hornbach Funk
Controlled Substance Registration-Physician Assistant
License number
10001379B
Date granted
09/26/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Vincent Hospital, 2001 West 86th Street, Indianapolis IN 46260
indianalicensing.org
ID 8387244
LAST UPDATED 2024-05-16 05:24:13 UTC
LAST UPDATED 2024-05-16 05:24:13 UTC
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