Indiana
Professional Licensing Agency
Tamara L. Mosier
Controlled Substance Registration-Physician Assistant
License number
10001026B
Date granted
10/09/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
7120 Clearvista Drive # 2100, Indianapolis IN 46256
indianalicensing.org
ID 8387479
LAST UPDATED 2024-03-27 08:12:41 UTC
LAST UPDATED 2024-03-27 08:12:41 UTC
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