James S. Fenoglio

Controlled Substance Registration - Physician

Indiana  01028954C   Expired

This Indiana license was held by James S. Fenoglio. The license is no longer active. It was granted on 02/21/1979 and expired on 03/31/1984

LICENSE DETAILS

  • License Number: 01028954C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 02/21/1979 (over 46 years ago)
  • Expiry Date: 03/31/1984 (about 41 years ago)

LOCATIONS

A Address

RUSSELLVILLE HEALTH CLINIC, MAIN ST, RUSSELLVILLE IN 46175