Delaware
Division of Professional Regulation
Paul A. Fedalen
Controlled Substances - Physician Csr
License number
MD4475
Date granted
07/23/2004
Date expires
06/30/2015
Class
Controlled Substances - Physician Csr
Status
Active
Address
Dover DE 19904
delawarelicensing.com
ID 20538259
LAST UPDATED 2024-02-16 12:27:21 UTC
LAST UPDATED 2024-02-16 12:27:21 UTC
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