Indiana
Professional Licensing Agency
Whitney Johanna Kirsch
Controlled Substance Registration-Physician Assistant
License number
10000905B
Date granted
05/22/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Oliver Family Healthcare, 5645 Lafayette Road, Indianapolis IN 46254
indianalicensing.org
ID 8387523
LAST UPDATED 2024-03-14 21:42:26 UTC
LAST UPDATED 2024-03-14 21:42:26 UTC
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