Indiana
Professional Licensing Agency
Jeffrey W. Sassmannshausen
Controlled Substance Registration - Physician
License number
01043294C
Date granted
09/12/1995
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DERMATOLOGY AND LASER SURGERY ASSOC, 2930 LAKE AVE, FORT WAYNE IN 46805
indianalicensing.org
ID 5853605
LAST UPDATED 2024-04-23 16:25:12 UTC
LAST UPDATED 2024-04-23 16:25:12 UTC
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