License holder summary

Russell Dean Pullen is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Russell Dean Pullen is Emergency Medicine of Indiana, 441 Wabash Avenue, Marion IN 46953. This licensed professional license is current. The license was granted 09/05/2007 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Russell Dean Pullen
Controlled Substance Registration-Physician Assistant
License number
10000346B
Date granted
09/05/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Emergency Medicine of Indiana, 441 Wabash Avenue, Marion IN 46953
indianalicensing.org
ID 8387834
LAST UPDATED 2024-05-10 22:54:16 UTC

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