Indiana
Professional Licensing Agency
RAY EDWARD FORTNER
Controlled Substance Registration - Physician
License number
01019056B
Date granted
10/31/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1910 DOCTORS PARK DRIVE, COLUMBUS IN 47203
indianalicensing.org
ID 5836958
LAST UPDATED 2024-05-09 14:46:30 UTC
LAST UPDATED 2024-05-09 14:46:30 UTC
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