Indiana
Professional Licensing Agency
Kacy Yevonne Head
Controlled Substance Registration-Physician Assistant
License number
10001167B
Date granted
08/26/2011
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Urology of Indiana, L.L.C., 100 Hospital Lane, Ste 105, Danville IN 46122-2000
indianalicensing.org
ID 8386206
LAST UPDATED 2024-04-19 22:56:53 UTC
LAST UPDATED 2024-04-19 22:56:53 UTC
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