License holder summary

JAMES FITCH FAVORITE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for JAMES FITCH FAVORITE is 2703 BROADWAY, FORT WAYNE IN 46807. This licensed professional license is not current. The license was granted 10/31/1981 and expired on 10/31/1982.

Indiana

Professional Licensing Agency

JAMES FITCH FAVORITE
Controlled Substance Registration - Dentist
License number
12004068B
Date granted
10/31/1981
Date expires
10/31/1982
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2703 BROADWAY, FORT WAYNE IN 46807
indianalicensing.org
ID 5094942
LAST UPDATED 2024-03-28 19:16:39 UTC

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