License holder summary

Alexander Fondak is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alexander Fondak is 804 South Berkely Road, Kokomo IN 46901. This licensed professional license is current. The license was granted 07/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Alexander Fondak
Controlled Substance Registration - Physician
License number
01032543B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
804 South Berkely Road, Kokomo IN 46901
indianalicensing.org
ID 5875537
LAST UPDATED 2024-01-28 08:44:44 UTC

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