KENNETH GERALD FORTRESS
Controlled Substance Registration - Physician
Indiana 01032775B Expired
This Indiana license was held by KENNETH GERALD FORTRESS. The license is no longer active. It was granted on 10/31/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01032775B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/31/1986 (almost 40 years ago)
- Expiry Date: 06/30/2003 (about 23 years ago)
LOCATIONS
A Address
LAFAYETTE HOME HOSPITAL, 2400 SOUTH STREET, LAFAYETTE IN 47904