TONYA FRANCEN FULLER
Controlled Substance Registration - Physician
Indiana 01041196B Expired
This Indiana license was held by TONYA FRANCEN FULLER. The license is no longer active. It was granted on 03/25/1993 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01041196B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/25/1993 (about 33 years ago)
- Expiry Date: 06/30/1995 (almost 31 years ago)
LOCATIONS
A Address
1800 N OAK ROAD P O BOX 638, PLYMOUTH IN 46563