License holder summary

Melanie L. Pequignot is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Melanie L. Pequignot is 2518 E Dupont Road, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 01/28/2011 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Melanie L. Pequignot
Controlled Substance Registration-Physician Assistant
License number
10001156B
Date granted
01/28/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
2518 E Dupont Road, Fort Wayne IN 46825
indianalicensing.org
ID 8386602
LAST UPDATED 2024-03-31 04:12:40 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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