Indiana
Professional Licensing Agency
Fred Ray Portney
Controlled Substance Registration - Physician
License number
01018555B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9800 Valparaiso Court, Munster IN 46321
indianalicensing.org
ID 5900261
LAST UPDATED 2024-05-05 04:43:29 UTC
LAST UPDATED 2024-05-05 04:43:29 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.