License holder summary

Tracey W. Alphin is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Tracey W. Alphin is Activate Healthcare @ Major Tool, 1450 East 20th Street, Indianapolis IN 46218. This licensed professional license is current. The license was granted 07/01/2013 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Tracey W. Alphin
Controlled Substance Registration-Physician Assistant
License number
10001366B
Date granted
07/01/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Activate Healthcare @ Major Tool, 1450 East 20th Street, Indianapolis IN 46218
indianalicensing.org
ID 8387506
LAST UPDATED 2024-05-02 19:57:48 UTC

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