Indiana
Professional Licensing Agency
Rick Jarrett Storie
Controlled Substance Registration-Physician Assistant
License number
10000302B
Date granted
09/28/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
10620-A Corporate Drive, Fort Wayne IN 46845
indianalicensing.org
ID 8386635
LAST UPDATED 2024-03-20 15:18:14 UTC
LAST UPDATED 2024-03-20 15:18:14 UTC
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