Indiana
Professional Licensing Agency
Marilyn Deanna Gately
Controlled Substance Registration-Physician Assistant
License number
10000263B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
13100 E. 136th Street, Suite# 1200, Fishers IN 46037
indianalicensing.org
ID 8386411
LAST UPDATED 2024-05-12 09:50:22 UTC
LAST UPDATED 2024-05-12 09:50:22 UTC
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