Indiana
Professional Licensing Agency
Pamela L. Strange
Controlled Substance Registration - Physician
License number
01042906B
Date granted
07/28/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6119 West Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5854153
LAST UPDATED 2024-03-17 12:59:30 UTC
LAST UPDATED 2024-03-17 12:59:30 UTC
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