Ana Maria Jimenez
Controlled Substance Registration-Physician Assistant
Indiana 10000833B Expired
This Indiana license was held by Ana Maria Jimenez. The license is no longer active. It was granted on 03/03/2009 and expired on 06/30/2010
LICENSE DETAILS
- License Number: 10000833B
- Category: CSR-Physician Assistant
- Status: Expired
- Date Granted: 03/03/2009 (over 15 years ago)
- Expiry Date: 06/30/2010 (almost 14 years ago)
LOCATIONS
A Address
Pediatrics Center of Fort Wayne, 2930 Lake Avenue, Fort Wayne IN 46805