License holder summary

Ronald Douglas is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Ronald Douglas is Summit Radiology, P.C., 5001 US Highway 30 W Ste D, Fort Wayne IN 46818-9701. This licensed professional license is current. The license was granted 08/04/2009 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Ronald Douglas
Controlled Substance Registration-Physician Assistant
License number
10000680B
Date granted
08/04/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Summit Radiology, P.C., 5001 US Highway 30 W Ste D, Fort Wayne IN 46818-9701
indianalicensing.org
ID 8386644
LAST UPDATED 2024-03-26 18:50:05 UTC

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