Indiana
Professional Licensing Agency
Larry Duane Grider
Physician Assistant
License number
10000137A
Date granted
12/17/1986
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Carmel IN 46032
indianalicensing.org
ID 8389236
LAST UPDATED 2024-02-28 19:28:14 UTC
LAST UPDATED 2024-02-28 19:28:14 UTC
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