License holder summary

Erinn C. Fuller is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Erinn C. Fuller is Northern Indiana Center for Pelvic Health and Gynecology, 707 North Michigan Street Suite 102, South Bend IN 46601. This licensed professional license is current. The license was granted 06/03/2013 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Erinn C. Fuller
Controlled Substance Registration-Physician Assistant
License number
10001520B
Date granted
06/03/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Northern Indiana Center for Pelvic Health and Gynecology, 707 North Michigan Street Suite 102, South Bend IN 46601
indianalicensing.org
ID 8388526
LAST UPDATED 2024-03-17 05:40:53 UTC

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