Indiana
Professional Licensing Agency
Larry Wayne Vandermolen
Controlled Substance Registration-Physician Assistant
License number
10001177B
Date granted
09/23/2011
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Greensburg Urgent Care, 1463 W. Westridge Pkwy, Greensburg IN 47240
indianalicensing.org
ID 8386822
LAST UPDATED 2024-04-18 11:51:24 UTC
LAST UPDATED 2024-04-18 11:51:24 UTC
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