License holder summary

Rebecca Marie Lawson Blume is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Rebecca Marie Lawson Blume is Jefferson Pediactrics, 3919 W. Jefferson Blvd., Fort Wayne IN 46804. This licensed professional license is current. The license was granted 08/23/2013 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Rebecca Marie Lawson Blume
Controlled Substance Registration-Physician Assistant
License number
10000655B
Date granted
08/23/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Jefferson Pediactrics, 3919 W. Jefferson Blvd., Fort Wayne IN 46804
indianalicensing.org
ID 8386633
LAST UPDATED 2026-04-01 18:26:44 UTC

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