Indiana
Professional Licensing Agency
Stacy Kathleen Dawkins
Controlled Substance Registration-Physician Assistant
License number
10000531B
Date granted
10/26/2007
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
8075 N Shadeland Avenue Suite 350, Indianapolis IN 46250
indianalicensing.org
ID 8387465
LAST UPDATED 2024-03-25 06:38:56 UTC
LAST UPDATED 2024-03-25 06:38:56 UTC
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