Indiana
Professional Licensing Agency
Nicole Marie Helsom
Controlled Substance Registration-Physician Assistant
License number
10000849B
Date granted
09/25/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Fort Wayne Dermatology, 5750 Falls Drive, Fort Wayne IN 46804
indianalicensing.org
ID 8386619
LAST UPDATED 2024-02-21 12:13:43 UTC
LAST UPDATED 2024-02-21 12:13:43 UTC
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