Indiana
Professional Licensing Agency
Lori Renee Vasquez
Controlled Substance Registration-Physician Assistant
License number
10000650B
Date granted
01/23/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1801 N. Senate Blvd. Ste #635, Indianapolis IN 46202
indianalicensing.org
ID 8387350
LAST UPDATED 2024-02-15 19:41:59 UTC
LAST UPDATED 2024-02-15 19:41:59 UTC
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