Indiana
Professional Licensing Agency
Kami Catherine Shaw
Controlled Substance Registration-Physician Assistant
License number
10000476B
Date granted
08/27/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Meridian Surgical Group, 11725 Illinois Street # 240, Carmel IN 46032
indianalicensing.org
ID 8386021
LAST UPDATED 2024-04-09 06:24:50 UTC
LAST UPDATED 2024-04-09 06:24:50 UTC
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