Kristina Renee Leavell
Controlled Substance Registration-Physician Assistant
Indiana 10000742B Expired
This Indiana license was held by Kristina Renee Leavell. The license is no longer active. It was granted on 08/24/2007 and expired on 06/30/2008
LICENSE DETAILS
- License Number: 10000742B
- Category: CSR-Physician Assistant
- Status: Expired
- Date Granted: 08/24/2007 (almost 19 years ago)
- Expiry Date: 06/30/2008 (about 18 years ago)
LOCATIONS
A Address
Thomas P Mason, MD, 1314 East 7th Street, Suite 206, Auburn IN 46706