License holder summary

CLAUDE JEAN FORTIN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CLAUDE JEAN FORTIN is ROUTE 30, DYER IN 46311. This licensed professional license is not current. The license was granted 01/10/1984 and expired on 02/28/1985.

Indiana

Professional Licensing Agency

CLAUDE JEAN FORTIN
Controlled Substance Registration - Physician
License number
01033169B
Date granted
01/10/1984
Date expires
02/28/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ROUTE 30, DYER IN 46311
indianalicensing.org
ID 5844187
LAST UPDATED 2024-05-12 17:44:09 UTC

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