Indiana
Professional Licensing Agency
Lori Kristen Rosebrock
Controlled Substance Registration-Physician Assistant
License number
10001280B
Date granted
12/07/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Community Hospital Medical Associates, 1500 N. Ritter Avenue, Indianapolis IN 46219
indianalicensing.org
ID 8387342
LAST UPDATED 2024-04-22 21:10:32 UTC
LAST UPDATED 2024-04-22 21:10:32 UTC
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