Indiana
Professional Licensing Agency
J. Rex Parent
Controlled Substance Registration - Physician
License number
01023963B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
321 East Wayne Street, Fort Wayne IN 46802
indianalicensing.org
ID 5853438
LAST UPDATED 2024-03-23 18:30:47 UTC
LAST UPDATED 2024-03-23 18:30:47 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.