Indiana
Professional Licensing Agency
Robin Renae Tudor
Controlled Substance Registration-Physician Assistant
License number
10001201B
Date granted
08/27/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Lake County Jail-Medical Unit, 2293 N. Main Street, Crown Point IN 46307
indianalicensing.org
ID 8386186
LAST UPDATED 2024-02-26 03:31:17 UTC
LAST UPDATED 2024-02-26 03:31:17 UTC
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