License holder summary

FRED JOSEPH SIMON JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FRED JOSEPH SIMON JR is DAVID MATHIAS, 415 ANDERSON STREET, GREENCASTLE IN 46135. This licensed professional license is not current. The license was granted 10/20/1988 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

FRED JOSEPH SIMON JR
Controlled Substance Registration - Physician
License number
01036749B
Date granted
10/20/1988
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
DAVID MATHIAS, 415 ANDERSON STREET, GREENCASTLE IN 46135
indianalicensing.org
ID 5859883
LAST UPDATED 2024-02-21 20:18:45 UTC

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