Deanna Michelle Fenoughty
Controlled Substance Registration - Physician
Indiana 01056031B Active
This Indiana license is held by Deanna Michelle Fenoughty. The license is currently active. It was granted on 05/02/2002 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01056031B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/02/2002 (over 24 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
6911 E. US 36, Avon IN 46123
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