Indiana
Professional Licensing Agency
Tigist Opheim
Controlled Substance Registration-Physician Assistant
License number
10000930B
Date granted
09/03/2008
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
114 Executive Drive Suite# E, Lafayette IN 47905
indianalicensing.org
ID 8387698
LAST UPDATED 2024-02-14 20:41:07 UTC
LAST UPDATED 2024-02-14 20:41:07 UTC
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