Indiana
Professional Licensing Agency
Mandy Michele Caban
Controlled Substance Registration-Physician Assistant
License number
10000881B
Date granted
06/17/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Cornerstone Family Physicians, 8902 N. Meridian Street, Suite 230, Indianapolis IN 46260
indianalicensing.org
ID 8387351
LAST UPDATED 2026-05-29 13:43:33 UTC
LAST UPDATED 2026-05-29 13:43:33 UTC
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