Indiana
Professional Licensing Agency
Katie Ann Kubala
Controlled Substance Registration-Physician Assistant
License number
10001761B
Date granted
10/30/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Beacon Orthopaedics $ Sports Medicine, 605 Wilson Creek Ste 01, Lawrenceburg IN 47025
indianalicensing.org
ID 29179953
LAST UPDATED 2024-04-29 22:54:27 UTC
LAST UPDATED 2024-04-29 22:54:27 UTC
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