Indiana
Professional Licensing Agency
Jennifer L Tobin
Controlled Substance Registration-Physician Assistant
License number
10000730B
Date granted
12/20/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Orthopaedics Northeast, P.C., 5050 North Clinton Street, Fort Wayne IN 46825
indianalicensing.org
ID 8386538
LAST UPDATED 2024-04-02 19:26:32 UTC
LAST UPDATED 2024-04-02 19:26:32 UTC
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