Indiana
Professional Licensing Agency
Marcy Rose Showalter
Controlled Substance Registration-Physician Assistant
License number
10000398B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Beacon Medical Group, 600 East Blvd., Elkhart IN 46514
indianalicensing.org
ID 8386299
LAST UPDATED 2026-06-23 04:13:03 UTC
LAST UPDATED 2026-06-23 04:13:03 UTC
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