License holder summary

Dennis Lee Fast is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dennis Lee Fast is Dennis Lee Fast, 350 J H WALKER DR #110, PENDLETON IN 46064. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Dennis Lee Fast
Controlled Substance Registration - Physician
License number
01028579B
Date granted
09/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Dennis Lee Fast, 350 J H WALKER DR #110, PENDLETON IN 46064
indianalicensing.org
ID 5909148
LAST UPDATED 2024-04-04 22:33:26 UTC

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