Indiana
Professional Licensing Agency
Patricia I. Bader
Controlled Substance Registration - Physician
License number
01022953B
Date granted
09/30/1982
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northeast Indiana Genetic Counseling Center, Inc., 11143 Parkview Plaza Drive, Ste 311, Fort Wayne IN 46845-1701
indianalicensing.org
ID 5854156
LAST UPDATED 2024-04-18 03:49:05 UTC
LAST UPDATED 2024-04-18 03:49:05 UTC
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