Indiana
Professional Licensing Agency
Susan K. Peterson
Controlled Substance Registration-Physician Assistant
License number
10000342B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Fort Wayne Medical Oncology and Hematology, INC., 11143 Parkview Plaza Drive Ste#100, Fort Wayne IN 46845-1701
indianalicensing.org
ID 8386658
LAST UPDATED 2024-04-08 03:39:36 UTC
LAST UPDATED 2024-04-08 03:39:36 UTC
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