License holder summary

James Michael Forde is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for James Michael Forde is Radiologic Associates of NW IN PC, 85 East US Highway 6, Valparaiso IN 46383. This licensed professional license is current. The license was granted 03/25/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

James Michael Forde
Controlled Substance Registration - Physician
License number
01041195B
Date granted
03/25/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiologic Associates of NW IN PC, 85 East US Highway 6, Valparaiso IN 46383
indianalicensing.org
ID 5928736
LAST UPDATED 2024-02-13 10:31:23 UTC

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