Indiana
Professional Licensing Agency
Marzena Kaczmarczyk
Controlled Substance Registration-Physician Assistant
License number
10001524B
Date granted
06/28/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Joseph Hospital & Health Center, 1907 W. Sycamore St., P.O. Box 9010, Kokomo IN 46904-9010
indianalicensing.org
ID 8387630
LAST UPDATED 2024-03-01 23:20:55 UTC
LAST UPDATED 2024-03-01 23:20:55 UTC
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