License holder summary

Brice E Fitzgerald is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Brice E Fitzgerald is 2460 STATE ROAD #26 WEST, WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Brice E Fitzgerald
Controlled Substance Registration - Physician
License number
01013355B
Date granted
10/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2460 STATE ROAD #26 WEST, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5933869
LAST UPDATED 2024-04-22 22:13:56 UTC

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