Indiana
Professional Licensing Agency
Kristin Renee Lange
Controlled Substance Registration-Physician Assistant
License number
10001079B
Date granted
04/24/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Clarian North Medical Center, 11725 Illinois Street Suite 215, Carmel IN 46032
indianalicensing.org
ID 8386031
LAST UPDATED 2024-03-29 09:15:39 UTC
LAST UPDATED 2024-03-29 09:15:39 UTC
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