Indiana
Professional Licensing Agency
Susan Marie Quirk
Controlled Substance Registration-Physician Assistant
License number
10001691B
Date granted
08/07/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Saint Joseph Regional Med., 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 29180008
LAST UPDATED 2024-02-20 18:25:54 UTC
LAST UPDATED 2024-02-20 18:25:54 UTC
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