Wiacheslaw Fedoriw
Controlled Substance Registration - Physician
Indiana 01037509B Active
This Indiana license is held by Wiacheslaw Fedoriw. The license is currently active. It was granted on 06/19/1989 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01037509B
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/19/1989 (about 35 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
2930 Lake Ave, Fort Wayne IN 46805
Are you Wiacheslaw Fedoriw? Show the world that you're licensed by displaying your personal badge.
Get Badge