Indiana
Professional Licensing Agency
James W. Fisher
Controlled Substance Registration - Dentist
License number
12007603B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
4640 WEST JEFFERSON BOULEVARD, FORT WAYNE IN 46804
indianalicensing.org
ID 5095010
LAST UPDATED 2024-04-29 20:48:42 UTC
LAST UPDATED 2024-04-29 20:48:42 UTC
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