Indiana
Professional Licensing Agency
Perry Clark Beko
Controlled Substance Registration-Physician Assistant
License number
10001228B
Date granted
11/01/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Emergency Medicine of Indiana, 10351 Dawson Creek Blvd Ste A-1, Fort Wayne IN 46825
indianalicensing.org
ID 8386623
LAST UPDATED 2024-03-14 06:53:42 UTC
LAST UPDATED 2024-03-14 06:53:42 UTC
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