License holder summary

Terry L. Frederick is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Terry L. Frederick is 326 EMS W17 Lane, North Webster IN 46555. This licensed professional license is current. The license was granted 08/07/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Terry L. Frederick
Controlled Substance Registration - Physician
License number
01024046C
Date granted
08/07/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
326 EMS W17 Lane, North Webster IN 46555
indianalicensing.org
ID 5907918
LAST UPDATED 2024-03-28 03:01:51 UTC

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