Indiana
Professional Licensing Agency
Brian T. Laursen
Controlled Substance Registration-Physician Assistant
License number
10000668B
Date granted
03/28/2008
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Emergency Medicine of Indiana, 7950 W Jefferson Blvd, Suite 2121, Fort Wayne IN 46804
indianalicensing.org
ID 8386466
LAST UPDATED 2024-03-31 04:11:11 UTC
LAST UPDATED 2024-03-31 04:11:11 UTC
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