License holder summary

Heather Marie Carmien Sickafoose is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Heather Marie Carmien Sickafoose is Parkview Occupational Health, 3103 E. State Blvd., Fort Wayne IN 46805. This licensed professional license is current. The license was granted 12/04/2009 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Heather Marie Carmien Sickafoose
Controlled Substance Registration-Physician Assistant
License number
10000962B
Date granted
12/04/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Parkview Occupational Health, 3103 E. State Blvd., Fort Wayne IN 46805
indianalicensing.org
ID 8386520
LAST UPDATED 2024-03-21 21:01:48 UTC

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