License holder summary

Michael Earl Holton is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Earl Holton is 3217 Lake Avenue Ste C, Fort Wayne IN 46805. This licensed professional license is current. The license was granted 09/14/1990 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael Earl Holton
Controlled Substance Registration - Physician
License number
01038768B
Date granted
09/14/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3217 Lake Avenue Ste C, Fort Wayne IN 46805
indianalicensing.org
ID 5854020
LAST UPDATED 2024-03-13 14:28:32 UTC

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