Indiana
Professional Licensing Agency
Angelique Marie Pagano
Controlled Substance Registration-Osteopathic Physician
License number
02004315B
Date granted
09/18/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Fort Wayne Medical Education Program, 750 Broadway, Ste 350, Fort Wayne IN 46802
indianalicensing.org
ID 5800232
LAST UPDATED 2024-02-27 13:16:07 UTC
LAST UPDATED 2024-02-27 13:16:07 UTC
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