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
LAST UPDATED 2026-04-01 18:26:44 UTC
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