License holder summary

Nathan Allen Fogt is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Nathan Allen Fogt is 1919 Lake Avenue, Suite 111, P.O. Box 1507, Plymouth IN 46563. This licensed professional license is not current. The license was granted 06/26/2000 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Nathan Allen Fogt
Controlled Substance Registration-Osteopathic Physician
License number
02002177B
Date granted
06/26/2000
Date expires
06/30/2003
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
1919 Lake Avenue, Suite 111, P.O. Box 1507, Plymouth IN 46563
indianalicensing.org
ID 5811770
LAST UPDATED 2024-03-13 06:31:18 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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