Indiana
Professional Licensing Agency
Katelin Sullivan Berry
Controlled Substance Registration-Physician Assistant
License number
10001211B
Date granted
01/27/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Vincent Medical Group, Inc, 8433 Harcourt Road, Suite 100, Indianapolis IN 46260
indianalicensing.org
ID 8387268
LAST UPDATED 2024-04-01 21:23:23 UTC
LAST UPDATED 2024-04-01 21:23:23 UTC
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