Indiana
Professional Licensing Agency
George Simeon Fultz
Controlled Substance Registration - Physician
License number
01038622B
Date granted
08/16/1990
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MICHIGAN CITY RADIOLOGISTS INC, 916 WASHINGTON STREET, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892603
LAST UPDATED 2024-04-19 06:26:42 UTC
LAST UPDATED 2024-04-19 06:26:42 UTC
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