Indiana
Professional Licensing Agency
Mark A. Fisher
Controlled Substance Registration-Physician Assistant
License number
10000311B
Date granted
01/27/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Professional Emergency Physician Inc., 2414 E. State St. Suite# 302, Fort Wayne IN 46805
indianalicensing.org
ID 8386593
LAST UPDATED 2024-03-29 03:55:22 UTC
LAST UPDATED 2024-03-29 03:55:22 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.