Indiana
Professional Licensing Agency
Lisa Suzanne Bobay
Controlled Substance Registration-Physician Assistant
License number
10000360B
Date granted
09/02/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Parkview, 2414 E. State Blvd, Suite 202, Fort Wayne IN 46805
indianalicensing.org
ID 8386584
LAST UPDATED 2024-03-16 17:38:15 UTC
LAST UPDATED 2024-03-16 17:38:15 UTC
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