Charles Kevin Martin
Controlled Substance Registration-Physician Assistant
Indiana 10000978B Expired
This Indiana license was held by Charles Kevin Martin. The license is no longer active. It was granted on 02/27/2009 and expired on 06/30/2014
LICENSE DETAILS
- License Number: 10000978B
- Category: CSR-Physician Assistant
- Status: Expired
- Date Granted: 02/27/2009 (about 16 years ago)
- Expiry Date: 06/30/2014 (almost 11 years ago)
LOCATIONS
A Address
Orthopaedics Northeast, PC, 5050 N Clinton Street, Fort Wayne IN 46825