Indiana
Professional Licensing Agency
Patricia L. Campbell
Controlled Substance Registration-Physician Assistant
License number
10000455B
Date granted
07/28/2008
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Summit Plastic Surgery, PC, 11141 Parkview Plaza Dr., Suite 300, Fort Wayne IN 46845
indianalicensing.org
ID 8386642
LAST UPDATED 2024-02-21 16:50:00 UTC
LAST UPDATED 2024-02-21 16:50:00 UTC
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