License holder summary

Kristen Danielle Ballenthin is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Kristen Danielle Ballenthin is moved out of state, Indianapolis IN 46204. This licensed professional license is not current. The license was granted 06/15/2010 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Kristen Danielle Ballenthin
Controlled Substance Registration-Physician Assistant
License number
10001174B
Date granted
06/15/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
moved out of state, Indianapolis IN 46204
indianalicensing.org
ID 8387301
LAST UPDATED 2024-03-18 05:47:35 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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