Indiana
Professional Licensing Agency
Elaine Louise Kruse
Controlled Substance Registration-Physician Assistant
License number
10001113B
Date granted
02/24/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Professional Emergency Physicians, 2414 E. State Blvd., Suite 202, Fort Wayne IN 46805
indianalicensing.org
ID 8386509
LAST UPDATED 2026-03-26 22:49:52 UTC
LAST UPDATED 2026-03-26 22:49:52 UTC
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