Indiana
Professional Licensing Agency
Keely Renee Phelps
Controlled Substance Registration-Physician Assistant
License number
10001329B
Date granted
10/29/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Methodist Hospital, 1801 N Senate Avenue, Indianapolis IN 46202
indianalicensing.org
ID 8387271
LAST UPDATED 2024-04-22 04:53:53 UTC
LAST UPDATED 2024-04-22 04:53:53 UTC
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