Indiana
Professional Licensing Agency
Dennis Lee Fast
Controlled Substance Registration - Physician
License number
01028579B
Date granted
09/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Dennis Lee Fast, 350 J H WALKER DR #110, PENDLETON IN 46064
indianalicensing.org
ID 5909148
LAST UPDATED 2024-03-26 03:21:30 UTC
LAST UPDATED 2024-03-26 03:21:30 UTC
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