License holder summary

Ana Maria Jimenez is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Ana Maria Jimenez is Pediatrics Center of Fort Wayne, 2930 Lake Avenue, Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 03/03/2009 and expired on 06/30/2010.

Indiana

Professional Licensing Agency

Ana Maria Jimenez
Controlled Substance Registration-Physician Assistant
License number
10000833B
Date granted
03/03/2009
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Pediatrics Center of Fort Wayne, 2930 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 8386447
LAST UPDATED 2024-03-09 05:01:37 UTC

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