License holder summary

PHILIP MAX FOGLE is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for PHILIP MAX FOGLE is 8090 N MERIDIAN STREET, INDIANAPOLIS IN 46260. This licensed professional license is not current. The license was granted 10/31/1986 and expired on 03/01/1996.

Indiana

Professional Licensing Agency

PHILIP MAX FOGLE
Controlled Substance Registration - Dentist
License number
12004141B
Date granted
10/31/1986
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
8090 N MERIDIAN STREET, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5103910
LAST UPDATED 2024-04-29 21:17:25 UTC

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