William Thomas Fogarty
Controlled Substance Registration - Physician
Indiana 01058255B Active
This Indiana license is held by William Thomas Fogarty. The license is currently active. It was granted on 10/17/2003 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01058255B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/17/2003 (over 21 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Concentra Medical Centers, 6423 Columbia Avenue, Hammond IN 46320
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