Indiana
Professional Licensing Agency
Randall Joseph Seidehamel
Controlled Substance Registration-Physician Assistant
License number
10000387B
Date granted
09/28/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1276 N Plaza Drive, Rockport IN 47635
indianalicensing.org
ID 8388386
LAST UPDATED 2026-05-25 13:21:39 UTC
LAST UPDATED 2026-05-25 13:21:39 UTC
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