Delaware
Division of Professional Regulation
Patricia M. Fry
Controlled Substances - Physician Assistant Csr
License number
PA0146
Date granted
02/10/2004
Date expires
06/30/2009
Class
Controlled Substances - Physician Assistant Csr
Status
Lapsed
Address
Bonita Springs FL 34135
delawarelicensing.com
ID 20535012
LAST UPDATED 2024-05-15 16:04:11 UTC
LAST UPDATED 2024-05-15 16:04:11 UTC
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