Indiana
Professional Licensing Agency
Media A. Jaboori
Controlled Substance Registration-Physician Assistant
License number
10000601B
Date granted
12/20/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Parkview Occupational Health Clinic, 3103 E. State Blvd., Fort Wayne IN 46805
indianalicensing.org
ID 8386599
LAST UPDATED 2024-03-28 02:54:50 UTC
LAST UPDATED 2024-03-28 02:54:50 UTC
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