License holder summary

Phyllis Ann Fenn Grant is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Phyllis Ann Fenn Grant is 611 South Main Street, New Castle IN 47362. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Phyllis Ann Fenn Grant
Controlled Substance Registration - Physician
License number
01016748B
Date granted
12/31/1985
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
611 South Main Street, New Castle IN 47362
indianalicensing.org
ID 5904636
LAST UPDATED 2024-03-08 21:53:58 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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