Indiana
Professional Licensing Agency
Julia Lyn Fashner
Controlled Substance Registration - Physician
License number
01053210B
Date granted
11/17/2000
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
611 East Douglas Rd. Suite 407, Mishawaka IN 46545
indianalicensing.org
ID 5895308
LAST UPDATED 2024-04-02 07:38:54 UTC
LAST UPDATED 2024-04-02 07:38:54 UTC
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