Indiana
Professional Licensing Agency
Lynnelle Driver
Controlled Substance Registration-Physician Assistant
License number
10000505B
Date granted
02/29/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Urology of Indiana, LLC, 679 Est County Line Road, Greenwood IN 46143-1049
indianalicensing.org
ID 8386876
LAST UPDATED 2024-03-10 23:32:17 UTC
LAST UPDATED 2024-03-10 23:32:17 UTC
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