License holder summary

Jill Marie Reisman is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jill Marie Reisman is FPN Network/Nephrology, 2708 Ferry Street, Lafayette IN 47904. This licensed professional license is current. The license was granted 10/03/2007 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Jill Marie Reisman
Controlled Substance Registration-Physician Assistant
License number
10000734B
Date granted
10/03/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
FPN Network/Nephrology, 2708 Ferry Street, Lafayette IN 47904
indianalicensing.org
ID 8387677
LAST UPDATED 2024-04-27 22:30:49 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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