Indiana
Professional Licensing Agency
Katherine Ann Ortiz
Controlled Substance Registration-Physician Assistant
License number
10001162B
Date granted
03/29/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Clarian North Medical Center, 11725 Illinois St. Suite# 250, Carmel IN 46032
indianalicensing.org
ID 8386028
LAST UPDATED 2024-02-27 22:46:44 UTC
LAST UPDATED 2024-02-27 22:46:44 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.