Indiana
Professional Licensing Agency
Natalie R. Fox
Controlled Substance Registration-Physician Assistant
License number
10001105B
Date granted
07/23/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Lakeshore Bone & Joint Institute, 601 Gateway Boulevard N, Chesterton IN 46304
indianalicensing.org
ID 8386091
LAST UPDATED 2024-02-22 10:29:41 UTC
LAST UPDATED 2024-02-22 10:29:41 UTC
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