License holder summary

Thomas Anthony Fedor is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Anthony Fedor is 2900 N RIVER ROAD, WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

Thomas Anthony Fedor
Controlled Substance Registration - Physician
License number
01018198B
Date granted
04/30/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2900 N RIVER ROAD, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5934615
LAST UPDATED 2024-04-15 14:24:05 UTC

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