Robert Hannon Fitzgerald, Jr.

Controlled Substance Registration - Physician

Indiana  01058740B   Expired

This Indiana license was held by Robert Hannon Fitzgerald, Jr.. The license is no longer active. It was granted on 03/22/2004 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 01058740B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 03/22/2004 (about 21 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Address

Fitzgerald Ortho, PC, 203 N. 12th St., Decatur IN 46733