License holder summary

Charles Kevin Martin is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Charles Kevin Martin is Orthopaedics Northeast, PC, 11130 Parkview Circle, Ste 1, Fort Wayne IN 46845. This licensed professional license is not current. The license was granted 02/27/2009 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Charles Kevin Martin
Controlled Substance Registration-Physician Assistant
License number
10000978C
Date granted
02/27/2009
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Orthopaedics Northeast, PC, 11130 Parkview Circle, Ste 1, Fort Wayne IN 46845
indianalicensing.org
ID 8386484
LAST UPDATED 2024-04-24 01:28:56 UTC

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