Indiana
Professional Licensing Agency
Deborah M Fernon
Controlled Substance Registration-Osteopathic Physician
License number
02001060B
Date granted
04/06/1989
Date expires
06/30/1993
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
GOOD SAMARITAN HOSPITAL, 520 S 7TH AVENUE, VINCENNES IN 47591
indianalicensing.org
ID 5815029
LAST UPDATED 2024-04-21 16:20:55 UTC
LAST UPDATED 2024-04-21 16:20:55 UTC
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