Gary Allen Fitzgerald

Controlled Substance Registration - Physician

Indiana  01029815B   Active

This Indiana license is held by Gary Allen Fitzgerald. The license is currently active. It was granted on 02/28/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01029815B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 02/28/1986 (over 39 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

1530 North 7th Street, Suite 104, Terre Haute IN 47808