Indiana
Professional Licensing Agency
Kelly Nicole Wikse
Controlled Substance Registration-Physician Assistant
License number
10000393B
Date granted
08/29/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Emergency Physicians of Indpls., 8111 South Emerson Ave, Indianapolis IN 46237
indianalicensing.org
ID 8385788
LAST UPDATED 2024-03-06 04:03:15 UTC
LAST UPDATED 2024-03-06 04:03:15 UTC
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