Indiana
Professional Licensing Agency
Fredric D. Young
Controlled Substance Registration - Physician
License number
01024515B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1646 45TH AVENUE, MUNSTER IN 46321
indianalicensing.org
ID 5900272
LAST UPDATED 2024-04-23 10:02:51 UTC
LAST UPDATED 2024-04-23 10:02:51 UTC
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