Indiana
Professional Licensing Agency
Deanna Michelle Fenoughty
Controlled Substance Registration - Physician
License number
01056031B
Date granted
05/02/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6911 E. US 36, Avon IN 46123
indianalicensing.org
ID 5820038
LAST UPDATED 2024-02-11 18:48:59 UTC
LAST UPDATED 2024-02-11 18:48:59 UTC
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