Indiana
Professional Licensing Agency
William Robert Fortner
Controlled Substance Registration - Physician
License number
01023187B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1214 Spring Street, Suite 2, Jeffersonville IN 47130
indianalicensing.org
ID 5874706
LAST UPDATED 2024-02-21 20:11:18 UTC
LAST UPDATED 2024-02-21 20:11:18 UTC
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