License holder summary

Brent Thomson Fonner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Brent Thomson Fonner is 1201 S MAIN STREET, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 06/27/1996 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Brent Thomson Fonner
Controlled Substance Registration - Physician
License number
01045211B
Date granted
06/27/1996
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1201 S MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5840801
LAST UPDATED 2024-02-07 11:35:14 UTC

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