Indiana
Professional Licensing Agency
Rena Dell Salyer-Fortin
Controlled Substance Registration-Osteopathic Physician
License number
02002355B
Date granted
07/01/2008
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Cameron Memorial Community Hospital, 7950 Jefferson Blvd., Ste 2121, Fort Wayne IN 46804
indianalicensing.org
ID 5800778
LAST UPDATED 2024-04-08 22:54:46 UTC
LAST UPDATED 2024-04-08 22:54:46 UTC
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