Indiana
Professional Licensing Agency
Susan Marie Knafel
Controlled Substance Registration-Physician Assistant
License number
10001565B
Date granted
08/23/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Emergency Medicine of Indiana, 10351 Dawson Creek Blvd Ste A-1, Fort Wayne IN 46825
indianalicensing.org
ID 8386660
LAST UPDATED 2024-04-25 19:24:37 UTC
LAST UPDATED 2024-04-25 19:24:37 UTC
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