Indiana
Professional Licensing Agency
Kristin M. Hauck
Controlled Substance Registration-Physician Assistant
License number
10000759B
Date granted
02/27/2009
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Professional Emergency Physicians, 2414E State Blvd Suite 202, Fort Wayne IN 46805
indianalicensing.org
ID 8386572
LAST UPDATED 2024-03-08 16:52:51 UTC
LAST UPDATED 2024-03-08 16:52:51 UTC
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