Indiana
Professional Licensing Agency
Thomas Gene Edwards
Controlled Substance Registration-Physician Assistant
License number
10000133B
Date granted
06/26/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Parkview Hospital, 2200 Randallia Drive, Fort Wayne IN 46805
indianalicensing.org
ID 8386673
LAST UPDATED 2024-04-19 02:10:31 UTC
LAST UPDATED 2024-04-19 02:10:31 UTC
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