License holder summary

EPHRAIM L FOSBRINK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EPHRAIM L FOSBRINK is 600 NORTH HUNTINGTON STREET, SYRACUSE IN 46567. This licensed professional license is not current. The license was granted 10/31/1984 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

EPHRAIM L FOSBRINK
Controlled Substance Registration - Physician
License number
01013573B
Date granted
10/31/1984
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
600 NORTH HUNTINGTON STREET, SYRACUSE IN 46567
indianalicensing.org
ID 5923798
LAST UPDATED 2024-05-08 02:53:19 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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