Geoffrey Mark Fortner
Controlled Substance Registration - Physician
Indiana 01056568B Active
This Indiana license is held by Geoffrey Mark Fortner. The license is currently active. It was granted on 07/30/2002 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01056568B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/30/2002 (almost 23 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
9615 E. 148th Street Suite# 1, Noblesville IN 46060
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