License holder summary

Jeremy G. Fisk is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeremy G. Fisk is 14540 Prairie Lakes Blvd. N.,Suite 102, Noblesville IN 46060. This licensed professional license is current. The license was granted 01/04/2011 and expired on 10/31/2015.

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 2024-02-26 13:31:20 UTC

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