Indiana
Professional Licensing Agency
Karen Sue Evans
Controlled Substance Registration - Physician
License number
01035240B
Date granted
10/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northeast Medical Associates, PC, 1234 E. Dupont Rd. Ste. 6, Fort Wayne IN 46825-1545
indianalicensing.org
ID 5853816
LAST UPDATED 2024-03-17 22:47:25 UTC
LAST UPDATED 2024-03-17 22:47:25 UTC
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