License holder summary

Carry Elizabeth Depold is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Carry Elizabeth Depold is Parkview Hospital, 2200 Randalia Street, Fort Wayne IN 46801. This licensed professional license is current. The license was granted 09/28/2012 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Carry Elizabeth Depold
Controlled Substance Registration-Physician Assistant
License number
10001452B
Date granted
09/28/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Parkview Hospital, 2200 Randalia Street, Fort Wayne IN 46801
indianalicensing.org
ID 8386481
LAST UPDATED 2024-02-08 22:36:38 UTC

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