Indiana
Professional Licensing Agency
FREDERICK THEODORE CHAYKOWSKI
Controlled Substance Registration - Physician
License number
01040342B
Date granted
10/19/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7601 WEST JEFFERSON BLVD, P O BOX 2526, FORT WAYNE IN 46801
indianalicensing.org
ID 5853315
LAST UPDATED 2024-04-30 01:27:51 UTC
LAST UPDATED 2024-04-30 01:27:51 UTC
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