Indiana
Professional Licensing Agency
Jessica M. Kohl
Controlled Substance Registration-Physician Assistant
License number
10000831B
Date granted
01/25/2008
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Orthopaedics Northeast PC, 5050 N. Clinton Street, Fort Wayne IN 46825
indianalicensing.org
ID 8386547
LAST UPDATED 2024-03-23 05:01:13 UTC
LAST UPDATED 2024-03-23 05:01:13 UTC
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