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
LAST UPDATED 2024-05-02 19:57:48 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.