Nathan Allen Fogt
Controlled Substance Registration-Osteopathic Physician
Indiana 02002177B Expired
This Indiana license was held by Nathan Allen Fogt. The license is no longer active. It was granted on 06/26/2000 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 02002177B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/26/2000 (almost 26 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
1919 Lake Avenue, Suite 111, P.O. Box 1507, Plymouth IN 46563