Indiana
Professional Licensing Agency
Marta Elena Ortegon
Controlled Substance Registration-Physician Assistant
License number
10000728B
Date granted
01/25/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
8111 Emerson Ave, Indianapolis IN 46237
indianalicensing.org
ID 8385787
LAST UPDATED 2024-02-21 17:49:58 UTC
LAST UPDATED 2024-02-21 17:49:58 UTC
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