Indiana
Professional Licensing Agency
Amy Christine Fox
Controlled Substance Registration-Physician Assistant
License number
10000273B
Date granted
07/29/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
14079 Hearthwood Drive, Fortville IN 46040
indianalicensing.org
ID 8386681
LAST UPDATED 2024-03-15 11:52:44 UTC
LAST UPDATED 2024-03-15 11:52:44 UTC
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