Indiana
Professional Licensing Agency
Stanley M. Rice
Controlled Substance Registration-Physician Assistant
License number
10000131B
Date granted
10/26/2007
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Suspended
Address
Primary Medicine Associates, LLC, 421 South Landmark Avenue, Bloomington IN 47403
indianalicensing.org
ID 8385868
LAST UPDATED 2024-03-14 17:47:06 UTC
LAST UPDATED 2024-03-14 17:47:06 UTC
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