Delaware
Division of Professional Regulation
Jennifer Anne Tallis
Controlled Substances - Physician Assistant Csr
License number
DA-0008398
Date granted
10/13/2011
Date expires
06/30/2015
Class
Controlled Substances - Physician Assistant Csr
Status
Active
Address
Wilmington DE 19806
delawarelicensing.com
ID 20535623
LAST UPDATED 2024-04-05 11:21:33 UTC
LAST UPDATED 2024-04-05 11:21:33 UTC
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