Indiana
Professional Licensing Agency
Anne Therese Hines
Controlled Substance Registration-Physician Assistant
License number
10000159B
Date granted
06/27/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Indiana/Ohio Heart, 7910 W Jefferson Blvd, # 102, Fort Wayne IN 46804
indianalicensing.org
ID 8386468
LAST UPDATED 2024-05-12 01:32:52 UTC
LAST UPDATED 2024-05-12 01:32:52 UTC
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