License holder summary

Brandon Eugene Fultz is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Brandon Eugene Fultz is St. Francis Occupational Center Working Well, 747 East County Line Rd., Greenwood IN 46143. This licensed professional license is current. The license was granted 12/07/2009 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Brandon Eugene Fultz
Controlled Substance Registration-Physician Assistant
License number
10001066B
Date granted
12/07/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Francis Occupational Center Working Well, 747 East County Line Rd., Greenwood IN 46143
indianalicensing.org
ID 8386842
LAST UPDATED 2024-03-11 14:04:06 UTC

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