Indiana
Professional Licensing Agency
Jason P. Knisley
Controlled Substance Registration-Physician Assistant
License number
10000501C
Date granted
11/07/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Orthopaedics Northeast, PC, 11136 Parkview Circle, Fort Wayne IN 46845
indianalicensing.org
ID 8386534
LAST UPDATED 2024-04-10 02:22:30 UTC
LAST UPDATED 2024-04-10 02:22:30 UTC
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