Indiana
Professional Licensing Agency
Gretchen L. Crampton
Controlled Substance Registration-Physician Assistant
License number
10000414B
Date granted
02/02/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Fort Wayne Orthopaedics, LLC, 7601 W. Jefferson Blvd., Fort Wayne IN 46804
indianalicensing.org
ID 8386518
LAST UPDATED 2024-03-16 22:25:47 UTC
LAST UPDATED 2024-03-16 22:25:47 UTC
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