Indiana
Professional Licensing Agency
Jeremy G. Fisk
Controlled Substance Registration - Physician
License number
01066942B
Date granted
01/04/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
14540 Prairie Lakes Blvd. N.,Suite 102, Noblesville IN 46060
indianalicensing.org
ID 5906920
LAST UPDATED 2026-04-23 16:38:35 UTC
LAST UPDATED 2026-04-23 16:38:35 UTC
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