Indiana
Professional Licensing Agency
D.L. Fortson, MD, PC
Medical Licensing Board - Medical Corporation
License number
50004739A
Date granted
10/21/2005
Date expires
01/31/2016
Class
Medical Licensing Board - Medical Corporation
Status
Active
Address
9727 Prairie Ave, Highland IN 46322
indianalicensing.org
ID 24828004
LAST UPDATED 2024-04-17 09:25:02 UTC
LAST UPDATED 2024-04-17 09:25:02 UTC
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