License holder summary

Stacey Marie Boswell is a Physician Assistant licensed to practice in Indiana. The address on file for Stacey Marie Boswell is Fort Wayne IN 46804. This licensed professional license is current. The license was granted 03/15/2013 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Stacey Marie Boswell
Physician Assistant
License number
10001506A
Date granted
03/15/2013
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 8389975
LAST UPDATED 2024-04-05 08:18:29 UTC

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