Indiana
Professional Licensing Agency
Pamela Jean Wall
Controlled Substance Registration-Physician Assistant
License number
10000381B
Date granted
12/02/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Mobile Doctors, 8780 Purdue Road Ste 7, Indianapolis IN 46268
indianalicensing.org
ID 8387412
LAST UPDATED 2026-03-31 14:15:15 UTC
LAST UPDATED 2026-03-31 14:15:15 UTC
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