Indiana
Professional Licensing Agency
William Thomas Havens
Controlled Substance Registration-Physician Assistant
License number
10000917B
Date granted
01/25/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Indiana University Health Center, 600 North Jordan Avenue, Bloomington IN 47405
indianalicensing.org
ID 8385875
LAST UPDATED 2024-03-06 16:21:34 UTC
LAST UPDATED 2024-03-06 16:21:34 UTC
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