Indiana
Professional Licensing Agency
Christopher B. Bailey
Controlled Substance Registration-Physician Assistant
License number
10000061B
Date granted
08/24/2012
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Parkview Hospital, 2200 Randallia Drive, Fort Wayne IN 46805
indianalicensing.org
ID 8386489
LAST UPDATED 2024-03-01 23:35:59 UTC
LAST UPDATED 2024-03-01 23:35:59 UTC
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