Tyler Brooks Fredenburg

Controlled Substance Registration - Physician

Indiana  01063947B   Active

This Indiana license is held by Tyler Brooks Fredenburg. The license is currently active. It was granted on 07/28/2010 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01063947B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/28/2010 (almost 14 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Richmond Radiologists, INC., 35 S. 8th Street, Richmond IN 47374