Indiana
Professional Licensing Agency
Kian Porter
Controlled Substance Registration - Physician
License number
01031156B
Date granted
09/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PREFERRED ANESTHESIA CONSULTANTS, 1818 CAREW STREET #220, FORT WAYNE IN 46805
indianalicensing.org
ID 5853865
LAST UPDATED 2024-03-27 12:51:05 UTC
LAST UPDATED 2024-03-27 12:51:05 UTC
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