Indiana
Professional Licensing Agency
Katherine Margaret Small
Controlled Substance Registration-Physician Assistant
License number
10001318B
Date granted
12/07/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Witham Memorial Hospital, 2605 N Lebanon Street, Lebanon IN 46052
indianalicensing.org
ID 8387738
LAST UPDATED 2024-03-25 23:03:03 UTC
LAST UPDATED 2024-03-25 23:03:03 UTC
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