License holder summary

Clayton Brennan Fitzpatrick is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Clayton Brennan Fitzpatrick is Tri-State Perinatology, 4199 Gateway Blvd. Ste# 3100, Newburgh IN 47630. This licensed professional license is current. The license was granted 04/08/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Clayton Brennan Fitzpatrick
Controlled Substance Registration - Physician
License number
01056421B
Date granted
04/08/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Tri-State Perinatology, 4199 Gateway Blvd. Ste# 3100, Newburgh IN 47630
indianalicensing.org
ID 5905414
LAST UPDATED 2024-02-03 11:05:10 UTC

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