Indiana
Professional Licensing Agency
Ashley Mellissa Groeller
Controlled Substance Registration-Physician Assistant
License number
10001390B
Date granted
04/27/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Professional Emergency Physicians, 2414 E. State St. Suite# 302, Fort Wayne IN 46808
indianalicensing.org
ID 8386458
LAST UPDATED 2024-04-11 06:43:59 UTC
LAST UPDATED 2024-04-11 06:43:59 UTC
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