Indiana
Professional Licensing Agency
Cindy M. Fordyce
Controlled Substance Registration-Physician Assistant
License number
10000277C
Date granted
11/06/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Orthopaedics Northeast, PC, 11136 Parkview Circle, Fort Wayne IN 46845
indianalicensing.org
ID 8386494
LAST UPDATED 2024-02-05 12:55:20 UTC
LAST UPDATED 2024-02-05 12:55:20 UTC
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