Kenneth Ogden Fetrow
Controlled Substance Registration - Physician
Indiana 01019707B Expired
This Indiana license was held by Kenneth Ogden Fetrow. The license is no longer active. It was granted on 01/12/1986 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01019707B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/12/1986 (over 39 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
7400 COLUMBIA AVE P O BOX 4402, HAMMOND IN 46324