Indiana
Professional Licensing Agency
Lisa Michelle Berra
Controlled Substance Registration-Physician Assistant
License number
10001403B
Date granted
06/29/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Community Hospital South, 1402 E. County Line Rd, Indianapolis IN 46227
indianalicensing.org
ID 8387340
LAST UPDATED 2024-05-05 12:04:53 UTC
LAST UPDATED 2024-05-05 12:04:53 UTC
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