License holder summary

FREDERIC C PARK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FREDERIC C PARK is PERRY COUNTY MEMORIAL HOSP, #1 HOSPITAL RD, TELL CITY IN 47586. This licensed professional license is not current. The license was granted 03/16/1999 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

FREDERIC C PARK
Controlled Substance Registration - Physician
License number
01050325B
Date granted
03/16/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PERRY COUNTY MEMORIAL HOSP, #1 HOSPITAL RD, TELL CITY IN 47586
indianalicensing.org
ID 5924121
LAST UPDATED 2026-04-27 06:10:35 UTC

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