License holder summary

Frederick Fedorchak is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for Frederick Fedorchak is 3215 WILLOWCREEK ROAD, PORTAGE IN 46368. This licensed professional license is current. The license was granted 08/31/1986 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Frederick Fedorchak
Controlled Substance Registration - Podiatrist
License number
07000528B
Date granted
08/31/1986
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
3215 WILLOWCREEK ROAD, PORTAGE IN 46368
indianalicensing.org
ID 8431715
LAST UPDATED 2024-05-16 01:19:08 UTC

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