Indiana
Professional Licensing Agency
Lisa Dawn Elliott
Controlled Substance Registration-Physician Assistant
License number
10001357B
Date granted
12/02/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
9347 Pendleton Pike, Indianapolis IN 46236
indianalicensing.org
ID 8387339
LAST UPDATED 2024-04-29 18:01:24 UTC
LAST UPDATED 2024-04-29 18:01:24 UTC
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