Indiana
Professional Licensing Agency
Heather Raesky
Controlled Substance Registration-Physician Assistant
License number
10001230B
Date granted
12/02/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Emergency Medicine of Indiana, 10351 Dawson Creek Blvd Ste A-1, Fort Wayne IN 46825
indianalicensing.org
ID 8386523
LAST UPDATED 2024-04-19 02:52:13 UTC
LAST UPDATED 2024-04-19 02:52:13 UTC
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