Indiana
Professional Licensing Agency
Rebecca Leigh Corpuz
Controlled Substance Registration-Physician Assistant
License number
10000911B
Date granted
10/01/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
885 Connexion Way, Suite 200, Columbia City IN 46725
indianalicensing.org
ID 8386134
LAST UPDATED 2024-03-17 17:57:42 UTC
LAST UPDATED 2024-03-17 17:57:42 UTC
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