Joseph A Frederick
Controlled Substance Registration - Physician
Indiana 01025192B Expired
This Indiana license was held by Joseph A Frederick. The license is no longer active. It was granted on 02/28/1986 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01025192B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/28/1986 (over 40 years ago)
- Expiry Date: 06/30/2009 (about 17 years ago)
LOCATIONS
A Address
Sigma Medical Group, LLC, 2323 Ferry Street, Suite 104, Lafayette IN 47904