License holder summary

FREDRICK R MALOTT is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FREDRICK R MALOTT is R R 2 BOX 290, LEESBURG IN 46538. This licensed professional license is not current. The license was granted 02/28/1984 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

FREDRICK R MALOTT
Controlled Substance Registration - Physician
License number
01012483B
Date granted
02/28/1984
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R 2 BOX 290, LEESBURG IN 46538
indianalicensing.org
ID 5884135
LAST UPDATED 2024-03-21 01:58:35 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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