Indiana
Professional Licensing Agency
Martin Gerald Fortier
Controlled Substance Registration - Physician
License number
01043270C
Date granted
04/27/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CLINTON COUNTY HOSPITAL MED STAFF OFFICE, 1300 S JACKSON STREET, FRANKFORT IN 46041
indianalicensing.org
ID 5855179
LAST UPDATED 2024-04-03 15:10:42 UTC
LAST UPDATED 2024-04-03 15:10:42 UTC
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