License holder summary

KENNETH GERALD FORTRESS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KENNETH GERALD FORTRESS is LAFAYETTE HOME HOSPITAL, 2400 SOUTH STREET, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

KENNETH GERALD FORTRESS
Controlled Substance Registration - Physician
License number
01032775B
Date granted
10/31/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LAFAYETTE HOME HOSPITAL, 2400 SOUTH STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5880077
LAST UPDATED 2024-04-02 19:26:05 UTC

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