Indiana
Professional Licensing Agency
Wendy Marie Fodstad
Controlled Substance Registration-Physician Assistant
License number
10001301B
Date granted
07/01/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
IU Health Physicians, 714 North Senate, Suite 100, Indianapolis IN 46202
indianalicensing.org
ID 8387521
LAST UPDATED 2024-03-28 23:33:21 UTC
LAST UPDATED 2024-03-28 23:33:21 UTC
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