Brian T. Laursen
Controlled Substance Registration-Physician Assistant
Indiana 10000668D Expired
This Indiana license was held by Brian T. Laursen. The license is no longer active. It was granted on 10/13/2010 and expired on 06/30/2014
LICENSE DETAILS
- License Number: 10000668D
- Category: CSR-Physician Assistant
- Status: Expired
- Date Granted: 10/13/2010 (over 13 years ago)
- Expiry Date: 06/30/2014 (almost 10 years ago)
LOCATIONS
A Address
3717 Maplecrest Road, Fort Wayne IN 46815