Indiana
Professional Licensing Agency
Timothy Allen Kragt
Controlled Substance Registration-Physician Assistant
License number
10001649B
Date granted
07/14/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Joseph Regional Medical Center, ER, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 29180007
LAST UPDATED 2024-03-14 01:17:00 UTC
LAST UPDATED 2024-03-14 01:17:00 UTC
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