License holder summary

WILLO FREDERICK UNGEMACH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for WILLO FREDERICK UNGEMACH is 3009 FAIRFIELD AVENUE, FORT WAYNE IN 46807. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

WILLO FREDERICK UNGEMACH
Controlled Substance Registration - Physician
License number
01017152B
Date granted
09/30/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3009 FAIRFIELD AVENUE, FORT WAYNE IN 46807
indianalicensing.org
ID 5854817
LAST UPDATED 2024-02-20 19:08:30 UTC

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