License holder summary

Geoffrey Mark Fortner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Geoffrey Mark Fortner is 9615 E. 148th Street Suite# 1, Noblesville IN 46060. This licensed professional license is current. The license was granted 07/30/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Geoffrey Mark Fortner
Controlled Substance Registration - Physician
License number
01056568B
Date granted
07/30/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9615 E. 148th Street Suite# 1, Noblesville IN 46060
indianalicensing.org
ID 5906840
LAST UPDATED 2024-03-22 04:04:58 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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