License holder summary

Abigail Marie Bort is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Abigail Marie Bort is Professional Emergency Physician Inc., 2414 E. State Blvd., #202, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 10/29/2012 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Abigail Marie Bort
Controlled Substance Registration-Physician Assistant
License number
10001263B
Date granted
10/29/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Professional Emergency Physician Inc., 2414 E. State Blvd., #202, Fort Wayne IN 46805
indianalicensing.org
ID 8386441
LAST UPDATED 2024-03-19 19:32:10 UTC

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