Alexander Eric Fong
Controlled Substance Registration - Physician
Indiana 01073748B Active
This Indiana license is held by Alexander Eric Fong. The license is currently active. It was granted on 03/18/2014 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01073748B
- Category: CSR-Physician
- Status: Active
- Date Granted: 03/18/2014 (about 10 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
SJPN South Bend Neurology, 611 East Douglas Rd., Suite 305, Mishawaka IN 46545
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