Delaware
Division of Professional Regulation
Travis C. Fogelman
Controlled Substances - Physician Assistant Csr
License number
DA-0009663
Date granted
09/27/2013
Date expires
06/30/2015
Class
Controlled Substances - Physician Assistant Csr
Status
Active
Address
Wilmington DE 19802
delawarelicensing.com
ID 20534983
LAST UPDATED 2024-04-16 01:13:14 UTC
LAST UPDATED 2024-04-16 01:13:14 UTC
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