Indiana
Professional Licensing Agency
Michael John Fenelon
Controlled Substance Registration - Physician
License number
01035318B
Date granted
11/05/1990
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
241 NORRIS AVENUE, NORTH VERNON IN 47265
indianalicensing.org
ID 5907774
LAST UPDATED 2024-03-19 05:22:26 UTC
LAST UPDATED 2024-03-19 05:22:26 UTC
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