Indiana
Professional Licensing Agency
Tracy A. Reese
Controlled Substance Registration-Physician Assistant
License number
10001125B
Date granted
09/28/2009
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
needs csr app, Indianapolis IN 46202
indianalicensing.org
ID 8387512
LAST UPDATED 2024-02-27 09:45:17 UTC
LAST UPDATED 2024-02-27 09:45:17 UTC
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