Indiana
Professional Licensing Agency
Megan Moser Eisel
Controlled Substance Registration-Physician Assistant
License number
10000880B
Date granted
12/07/2007
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
1946 45th Street, Munster IN 46321
indianalicensing.org
ID 8388068
LAST UPDATED 2024-03-27 06:40:29 UTC
LAST UPDATED 2024-03-27 06:40:29 UTC
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