License holder summary

Martha Elaine Fagan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Martha Elaine Fagan is Reid Hospital Gyn LTD., 1100 Reid Parkway, Richmond IN 47374. This licensed professional license is current. The license was granted 05/05/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Martha Elaine Fagan
Controlled Substance Registration - Physician
License number
01066632B
Date granted
05/05/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Reid Hospital Gyn LTD., 1100 Reid Parkway, Richmond IN 47374
indianalicensing.org
ID 5913768
LAST UPDATED 2024-04-14 15:23:29 UTC

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