Indiana
Professional Licensing Agency
FRED LEE CROCKETT
Controlled Substance Registration - Physician
License number
01037209B
Date granted
12/05/1990
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WEST CENTRAL COMMUNITY HOSPITAL, 801 SOUTH MAIN, CLINTON IN 47842
indianalicensing.org
ID 5835116
LAST UPDATED 2024-04-12 15:04:32 UTC
LAST UPDATED 2024-04-12 15:04:32 UTC
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