Indiana
Professional Licensing Agency
Joseph A Frederick
Controlled Substance Registration - Physician
License number
01025192B
Date granted
02/28/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Sigma Medical Group, LLC, 2323 Ferry Street, Suite 104, Lafayette IN 47904
indianalicensing.org
ID 5879976
LAST UPDATED 2024-04-24 04:46:28 UTC
LAST UPDATED 2024-04-24 04:46:28 UTC
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