Indiana
Professional Licensing Agency
Frank Peter Fornasier
Controlled Substance Registration - Physician
License number
01047421B
Date granted
08/28/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DECATUR CO PRIMARY CARE ANNT DAWN KEAL, 720 NORTH LINCOLN AVE SUITE A, GREENSBURG IN 47240
indianalicensing.org
ID 5860997
LAST UPDATED 2024-03-21 12:17:19 UTC
LAST UPDATED 2024-03-21 12:17:19 UTC
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