Indiana
Professional Licensing Agency
Brian Keith Tomlinson
Controlled Substance Registration-Physician Assistant
License number
10000148B
Date granted
06/27/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
7950 W. Jefferson Blvd. Ste# 2121, Fort Wayne IN 46804
indianalicensing.org
ID 8386461
LAST UPDATED 2024-04-22 04:20:40 UTC
LAST UPDATED 2024-04-22 04:20:40 UTC
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