Indiana
Professional Licensing Agency
Marisa B. Beaty
Physician Assistant
License number
10001679A
Date granted
07/09/2014
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Indianapolis IN 46220
indianalicensing.org
ID 29180509
LAST UPDATED 2024-06-03 00:27:49 UTC
LAST UPDATED 2024-06-03 00:27:49 UTC
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