Indiana
Professional Licensing Agency
Brenda Susan O'Hara
Controlled Substance Registration - Physician
License number
01036208B
Date granted
08/19/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Parkview Physicians Group, 8911 Liberty Mills Road, Fort Wayne IN 46804-6311
indianalicensing.org
ID 5852991
LAST UPDATED 2024-04-26 03:35:07 UTC
LAST UPDATED 2024-04-26 03:35:07 UTC
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