Indiana
Professional Licensing Agency
ROY LEE FULTZ
Controlled Substance Registration - Physician
License number
01016745B
Date granted
03/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
55 SYCAMORE ROAD OAK PARK, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5874211
LAST UPDATED 2024-03-14 01:37:01 UTC
LAST UPDATED 2024-03-14 01:37:01 UTC
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