Indiana
Professional Licensing Agency
ERIC D VAN FOSSEN
Physician Assistant
License number
10000203A
Date granted
02/25/1993
Date expires
06/30/1996
Class
Physician Assistant
Status
Expired
Address
BERNE IN 46711
indianalicensing.org
ID 8388945
LAST UPDATED 2024-04-08 10:21:56 UTC
LAST UPDATED 2024-04-08 10:21:56 UTC
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