Indiana
Professional Licensing Agency
Jill Lynnette McBride
Controlled Substance Registration-Physician Assistant
License number
10000386B
Date granted
03/01/2013
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Parkview Occupational Health, 3103 E State Blvd., Fort Wayne IN 46814
indianalicensing.org
ID 8386551
LAST UPDATED 2024-04-11 13:20:20 UTC
LAST UPDATED 2024-04-11 13:20:20 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.