Indiana
Professional Licensing Agency
Wiacheslaw Fedoriw
Controlled Substance Registration - Physician
License number
01037509B
Date granted
06/19/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2930 Lake Ave, Fort Wayne IN 46805
indianalicensing.org
ID 5854742
LAST UPDATED 2024-02-17 10:29:11 UTC
LAST UPDATED 2024-02-17 10:29:11 UTC
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