Indiana
Professional Licensing Agency
Kristin Elizabeth Sung
Controlled Substance Registration-Physician Assistant
License number
10001260B
Date granted
03/02/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Bedford Medical Group, 2900 W 16th Street, Bedford IN 47421
indianalicensing.org
ID 8385795
LAST UPDATED 2024-04-24 03:52:35 UTC
LAST UPDATED 2024-04-24 03:52:35 UTC
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