License holder summary

Timothy Fendon is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Timothy Fendon is 114 Executive Dr. Suite #E, Lafayette IN 47905. This licensed professional license is current. The license was granted 12/17/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Timothy Fendon
Controlled Substance Registration-Osteopathic Physician
License number
02003282B
Date granted
12/17/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
114 Executive Dr. Suite #E, Lafayette IN 47905
indianalicensing.org
ID 5807148
LAST UPDATED 2024-04-28 10:08:47 UTC

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