License holder summary

Kiersten Rene Carrico is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Kiersten Rene Carrico is 10351 Dawson's Creek Blvd, Ste A-1, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 09/24/2014 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Kiersten Rene Carrico
Controlled Substance Registration-Physician Assistant
License number
10001557B
Date granted
09/24/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
10351 Dawson's Creek Blvd, Ste A-1, Fort Wayne IN 46825
indianalicensing.org
ID 29179734
LAST UPDATED 2024-04-05 12:30:51 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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