License holder summary

Sophia Anne Macarol is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Sophia Anne Macarol is Porter Valparaiso Hospital Campus, 814 LaPorte Avenue, Valparaiso IN 46383. This licensed professional license is not current. The license was granted 01/27/2012 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Sophia Anne Macarol
Controlled Substance Registration-Physician Assistant
License number
10001371B
Date granted
01/27/2012
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Porter Valparaiso Hospital Campus, 814 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 8388676
LAST UPDATED 2024-03-26 02:32:22 UTC

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