Indiana
Professional Licensing Agency
Kenneth Bates
Controlled Substance Registration-Physician Assistant
License number
10001207B
Date granted
09/24/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Bloomington Hospital, 411 West Tipton Street, Seymour IN 47274
indianalicensing.org
ID 8388467
LAST UPDATED 2024-04-10 23:01:53 UTC
LAST UPDATED 2024-04-10 23:01:53 UTC
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