Indiana
Professional Licensing Agency
Rachel Lauren Peterson
Controlled Substance Registration-Physician Assistant
License number
10000961B
Date granted
10/23/2009
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 8386628
LAST UPDATED 2024-02-23 23:09:41 UTC
LAST UPDATED 2024-02-23 23:09:41 UTC
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