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
LAST UPDATED 2024-03-19 19:32:10 UTC
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