Indiana
Professional Licensing Agency
Melissa Gayle Clark
Controlled Substance Registration-Physician Assistant
License number
10000884B
Date granted
09/02/2008
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Community Hospital Emergency Dep, 1515 N Madison Avenue, Anderson IN 46011
indianalicensing.org
ID 8385673
LAST UPDATED 2024-04-25 08:26:38 UTC
LAST UPDATED 2024-04-25 08:26:38 UTC
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