Indiana
Professional Licensing Agency
GLEN THOMAS FORTIER
Controlled Substance Registration - Physician
License number
01035508B
Date granted
11/14/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY HOSPITAL, 301 WEST HOMER STREET, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892616
LAST UPDATED 2024-02-25 08:53:20 UTC
LAST UPDATED 2024-02-25 08:53:20 UTC
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