Indiana
Professional Licensing Agency
Mark Daniel Frazee
Controlled Substance Registration-Physician Assistant
License number
10001009B
Date granted
03/02/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Community Hospital North, 7250 Clearvista Drive # 120, Indianapolis IN 46256
indianalicensing.org
ID 8387360
LAST UPDATED 2024-03-31 00:52:30 UTC
LAST UPDATED 2024-03-31 00:52:30 UTC
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