Indiana
Professional Licensing Agency
Kenneth Ogden Fetrow
Controlled Substance Registration - Physician
License number
01019707B
Date granted
01/12/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7400 COLUMBIA AVE P O BOX 4402, HAMMOND IN 46324
indianalicensing.org
ID 5864400
LAST UPDATED 2024-02-20 12:26:26 UTC
LAST UPDATED 2024-02-20 12:26:26 UTC
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