License holder summary

Jennifer Born is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jennifer Born is 2512 E. Dupont Rd Suite 200, Fort Wayne IN 46845-1609. This licensed professional license is current. The license was granted 09/17/2008 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Jennifer Born
Controlled Substance Registration-Physician Assistant
License number
10000925B
Date granted
09/17/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
2512 E. Dupont Rd Suite 200, Fort Wayne IN 46845-1609
indianalicensing.org
ID 8386541
LAST UPDATED 2024-03-17 19:37:31 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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