Indiana
Professional Licensing Agency
Lisa C. Osterbrock
Temporary Physician Assistant Permit
License number
99063966A
Date granted
09/29/2014
Date expires
06/29/2015
Class
Temporary Physician Assistant Permit
Status
Active
Address
Lawrenceburg IN 47025
indianalicensing.org
ID 29180995
LAST UPDATED 2024-03-11 20:41:53 UTC
LAST UPDATED 2024-03-11 20:41:53 UTC
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