Indiana
Professional Licensing Agency
Debra S. Lammers
Controlled Substance Registration-Physician Assistant
License number
10000204B
Date granted
12/02/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
3640 New Vision Drive, Ste A, Fort Wayne IN 46845
indianalicensing.org
ID 8386508
LAST UPDATED 2024-05-04 03:08:16 UTC
LAST UPDATED 2024-05-04 03:08:16 UTC
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