License holder summary

Leanne M. Fortner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Leanne M. Fortner is 13481 Dumbarton Street, Carmel IN 46032. This licensed professional license is current. The license was granted 09/20/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Leanne M. Fortner
Controlled Substance Registration - Physician
License number
01055016B
Date granted
09/20/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13481 Dumbarton Street, Carmel IN 46032
indianalicensing.org
ID 5831159
LAST UPDATED 2024-04-20 00:13:31 UTC

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