Indiana
Professional Licensing Agency
Tyler Brooks Fredenburg
Controlled Substance Registration - Physician
License number
01063947B
Date granted
07/28/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Richmond Radiologists, INC., 35 S. 8th Street, Richmond IN 47374
indianalicensing.org
ID 5914575
LAST UPDATED 2024-03-29 09:26:55 UTC
LAST UPDATED 2024-03-29 09:26:55 UTC
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