Indiana
Professional Licensing Agency
Shauna Jean Funderburk
Controlled Substance Registration-Physician Assistant
License number
10000996B
Date granted
03/01/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
7250 Clearvista Dr., Suite 120, Indianapolis IN 46256
indianalicensing.org
ID 8387448
LAST UPDATED 2024-03-06 00:38:53 UTC
LAST UPDATED 2024-03-06 00:38:53 UTC
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