Indiana
Professional Licensing Agency
Katrina Marie Severance
Controlled Substance Registration-Osteopathic Physician
License number
02004223B
Date granted
05/29/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Havens Medical Group, 207 Sparks Avenue, Ste 200, Jeffersonville IN 47130
indianalicensing.org
ID 5806193
LAST UPDATED 2024-02-17 11:19:40 UTC
LAST UPDATED 2024-02-17 11:19:40 UTC
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