Indiana
Professional Licensing Agency
Sarita Boacheon
Physician Assistant
License number
10001436A
Date granted
09/14/2012
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46825
indianalicensing.org
ID 8389972
LAST UPDATED 2024-04-04 07:08:30 UTC
LAST UPDATED 2024-04-04 07:08:30 UTC
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