Indiana
Professional Licensing Agency
Laurel Dawn Fauquher
Controlled Substance Registration-Physician Assistant
License number
10000757B
Date granted
12/28/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Central Indiana Orthopedics, 3600 W. Bethel, Muncie IN 47304
indianalicensing.org
ID 8388035
LAST UPDATED 2024-04-07 04:18:51 UTC
LAST UPDATED 2024-04-07 04:18:51 UTC
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