License holder summary

Frederick N. Fedorchak, D.P.M. is a Radiology - Radiation Facility Podiatric licensed to practice in Indiana. The address on file for Frederick N. Fedorchak, D.P.M. is 3215 Willowcreek Road, Portage IN 46368-5013. This licensed professional license is not current. The license was granted 08/02/2004 and expired on 05/30/2014.

Indiana

Professional Licensing Agency

Frederick N. Fedorchak, D.P.M.
Radiology - Radiation Facility Podiatric
License number
XF400152
Date granted
08/02/2004
Date expires
05/30/2014
Class
Radiology - Radiation Facility Podiatric
Status
Expired
Address
3215 Willowcreek Road, Portage IN 46368-5013
indianalicensing.org
ID 24947038
LAST UPDATED 2024-02-28 09:42:37 UTC

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