Indiana
Professional Licensing Agency
LaurieJo Hall
Controlled Substance Registration-Physician Assistant
License number
10001199B
Date granted
12/02/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Unity Physicians Group, 1155 West Third Street, Bloomington IN 47404
indianalicensing.org
ID 8385845
LAST UPDATED 2024-04-06 13:35:01 UTC
LAST UPDATED 2024-04-06 13:35:01 UTC
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