License holder summary

Angela M Fanizza Orphanos is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Angela M Fanizza Orphanos is ALLEN COUNTY RADIOLOGY ASSOC, 6227 COVINGTON ROAD, FORT WAYNE IN 46804. This licensed professional license is not current. The license was granted 03/04/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

Angela M Fanizza Orphanos
Controlled Substance Registration - Physician
License number
01039038B
Date granted
03/04/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ALLEN COUNTY RADIOLOGY ASSOC, 6227 COVINGTON ROAD, FORT WAYNE IN 46804
indianalicensing.org
ID 5852938
LAST UPDATED 2024-02-01 14:43:28 UTC

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