Michael John Fenelon
Controlled Substance Registration - Physician
Indiana 01035318B Suspended
This Indiana license was held by Michael John Fenelon. The license is no longer active. It was granted on 11/05/1990 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01035318B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 11/05/1990 (over 33 years ago)
- Expiry Date: 06/30/2007 (almost 17 years ago)
LOCATIONS
A Address
241 NORRIS AVENUE, NORTH VERNON IN 47265