Indiana
Professional Licensing Agency
Laine Elam
Controlled Substance Registration-Physician Assistant
License number
10000270B
Date granted
05/08/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
University Dermatology Center, 2525 W University Avenue, Ste 402, Muncie IN 47303
indianalicensing.org
ID 8388033
LAST UPDATED 2024-02-22 03:12:18 UTC
LAST UPDATED 2024-02-22 03:12:18 UTC
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