Indiana
Professional Licensing Agency
Shawn W Fenoughty
Controlled Substance Registration - Physician
License number
01056032B
Date granted
05/02/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hendricks Pediatrics, 8244 E. US 36, Bldg 1, Ste 100, Avon IN 46123
indianalicensing.org
ID 5820661
LAST UPDATED 2024-05-12 18:16:47 UTC
LAST UPDATED 2024-05-12 18:16:47 UTC
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