License holder summary

HAROLD LORENZO FOSGATE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for HAROLD LORENZO FOSGATE is 2908 EAST 62ND STREET, INDIANAPOLIS IN 46220. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

HAROLD LORENZO FOSGATE
Controlled Substance Registration - Physician
License number
01015961B
Date granted
10/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2908 EAST 62ND STREET, INDIANAPOLIS IN 46220
indianalicensing.org
ID 5869540
LAST UPDATED 2024-02-27 16:38:00 UTC

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