License holder summary

Alan Richard Fark is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alan Richard Fark is St. Vincent Dunn Hospital, 1600 23rd Street, Bedford IN 47421-4704. This licensed professional license is not current. The license was granted 09/01/2010 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Alan Richard Fark
Controlled Substance Registration - Physician
License number
01068741B
Date granted
09/01/2010
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Vincent Dunn Hospital, 1600 23rd Street, Bedford IN 47421-4704
indianalicensing.org
ID 5821873
LAST UPDATED 2024-04-07 04:34:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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