Jeffrey Dean Fortman
Controlled Substance Registration - Veterinarian
Indiana 24004619B Expired
This Indiana license was held by Jeffrey Dean Fortman. The license is no longer active. It was granted on 09/17/1986 and expired on 10/15/1989
LICENSE DETAILS
- License Number: 24004619B
- Category: CSR-Veterinarian
- Status: Expired
- Date Granted: 09/17/1986 (over 38 years ago)
- Expiry Date: 10/15/1989 (over 35 years ago)
LOCATIONS
A Address
CONRAD ANIMAL HOSPITAL, 3929 E JACKSON BLVD, ELKHART IN 46516