David E. Fellows
Controlled Substance Registration-Physician Assistant
Indiana 10001321B Active
This Indiana license is held by David E. Fellows. The license is currently active. It was granted on 01/27/2012 and expired on 06/30/2016
LICENSE DETAILS
- License Number: 10001321B
- Category: CSR-Physician Assistant
- Status: Active
- Date Granted: 01/27/2012 (over 13 years ago)
- Expiry Date: 06/30/2016 (almost 9 years ago)
LOCATIONS
A Address
St. Joseph Hospital; Emergency Department, 5215 Holy Cross Parkway, Mishawaka IN 46545
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