License holder summary

FREDERICK E WIDEMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FREDERICK E WIDEMAN is 3611 SOUTH REED ROAD #214, KOKOMO IN 46902. This licensed professional license is not current. The license was granted 09/30/1975 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

FREDERICK E WIDEMAN
Controlled Substance Registration - Physician
License number
01020328B
Date granted
09/30/1975
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3611 SOUTH REED ROAD #214, KOKOMO IN 46902
indianalicensing.org
ID 5876057
LAST UPDATED 2024-03-24 16:01:42 UTC

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