License holder summary

Alexander Eric Fong is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alexander Eric Fong is SJPN South Bend Neurology, 611 East Douglas Rd., Suite 305, Mishawaka IN 46545. This licensed professional license is current. The license was granted 03/18/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Alexander Eric Fong
Controlled Substance Registration - Physician
License number
01073748B
Date granted
03/18/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
SJPN South Bend Neurology, 611 East Douglas Rd., Suite 305, Mishawaka IN 46545
indianalicensing.org
ID 27714709
LAST UPDATED 2024-03-30 20:04:41 UTC

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