Indiana
Professional Licensing Agency
Laura Elaine Durecka
Controlled Substance Registration-Physician Assistant
License number
10000775B
Date granted
08/24/2007
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Parkview Main Hospital, 2200 Randallia Drive, Fort Wayne IN 46805
indianalicensing.org
ID 8386575
LAST UPDATED 2024-03-23 17:38:23 UTC
LAST UPDATED 2024-03-23 17:38:23 UTC
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