Indiana
Professional Licensing Agency
Frederick D Hoham, III
Controlled Substance Registration - Physician
License number
01018785B
Date granted
03/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BOX 508 OGDEN DUNES, 9 DIANA ROAD, PORTAGE IN 46368
indianalicensing.org
ID 5911005
LAST UPDATED 2024-04-06 12:02:47 UTC
LAST UPDATED 2024-04-06 12:02:47 UTC
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