Indiana
Professional Licensing Agency
Elizabeth Jane Hendricks
Controlled Substance Registration-Physician Assistant
License number
10000483B
Date granted
01/31/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Redi Med of Fort Wayne, 3717 Maplecrest Road, Fort Wayne IN 46816
indianalicensing.org
ID 8386513
LAST UPDATED 2024-04-18 21:55:37 UTC
LAST UPDATED 2024-04-18 21:55:37 UTC
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