License holder summary

Max Leroy Fields is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Max Leroy Fields is 2138 N. Norway Trail, P.O. Box 364, Monticello IN 47960. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Max Leroy Fields
Controlled Substance Registration - Physician
License number
01020434B
Date granted
10/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
2138 N. Norway Trail, P.O. Box 364, Monticello IN 47960
indianalicensing.org
ID 5896617
LAST UPDATED 2024-03-19 15:43:25 UTC

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