Dennis Lee Fast
Controlled Substance Registration - Physician
Indiana 01028579B Expired
This Indiana license was held by Dennis Lee Fast. The license is no longer active. It was granted on 09/30/1986 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01028579B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/30/1986 (over 39 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
Dennis Lee Fast, 350 J H WALKER DR #110, PENDLETON IN 46064