Indiana
Professional Licensing Agency
FRED EMMETT HAGGERTY
Controlled Substance Registration - Physician
License number
01021164B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2130 STATE ROAD 340 WEST, Brazil IN 47834
indianalicensing.org
ID 5827595
LAST UPDATED 2024-05-16 16:38:28 UTC
LAST UPDATED 2024-05-16 16:38:28 UTC
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