Indiana
Professional Licensing Agency
JAMES FITCH FAVORITE
Controlled Substance Registration - Dentist
License number
12004068B
Date granted
10/31/1981
Date expires
10/31/1982
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2703 BROADWAY, FORT WAYNE IN 46807
indianalicensing.org
ID 5094942
LAST UPDATED 2024-03-17 11:58:25 UTC
LAST UPDATED 2024-03-17 11:58:25 UTC
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