Indiana
Professional Licensing Agency
Edson Clement Fish
Controlled Substance Registration - Physician
License number
01012783B
Date granted
10/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
19054 SUMMERS DRIVE, SOUTH BEND IN 46637
indianalicensing.org
ID 5920814
LAST UPDATED 2024-04-05 09:29:45 UTC
LAST UPDATED 2024-04-05 09:29:45 UTC
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