License holder summary

Zachary Mark Clemens is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Zachary Mark Clemens is 2414 E. State Blvd., #202, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 05/29/2012 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Zachary Mark Clemens
Controlled Substance Registration-Physician Assistant
License number
10001218B
Date granted
05/29/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
2414 E. State Blvd., #202, Fort Wayne IN 46805
indianalicensing.org
ID 8386680
LAST UPDATED 2024-04-29 21:01:10 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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