Indiana
Professional Licensing Agency
William Thomas Fogarty
Controlled Substance Registration - Physician
License number
01058255B
Date granted
10/17/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Concentra Medical Centers, 6423 Columbia Avenue, Hammond IN 46320
indianalicensing.org
ID 5865797
LAST UPDATED 2024-03-13 17:24:48 UTC
LAST UPDATED 2024-03-13 17:24:48 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.