Terry L. Frederick
Controlled Substance Registration - Physician
Indiana 01024046C Active
This Indiana license is held by Terry L. Frederick. The license is currently active. It was granted on 08/07/2002 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01024046C
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/07/2002 (almost 24 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
326 EMS W17 Lane, North Webster IN 46555
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