License holder summary

Joseph Dale Fortin is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Joseph Dale Fortin is Spine Technology and Rehabilitation, P.C., 3898 New Vision Drive, Suite B, Fort Wayne IN 46845. This licensed professional license is current. The license was granted 08/03/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Joseph Dale Fortin
Controlled Substance Registration-Osteopathic Physician
License number
02001553B
Date granted
08/03/1994
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Spine Technology and Rehabilitation, P.C., 3898 New Vision Drive, Suite B, Fort Wayne IN 46845
indianalicensing.org
ID 5800545
LAST UPDATED 2024-05-05 10:14:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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