Indiana
Professional Licensing Agency
Arsenio Santiago Favor
Controlled Substance Registration - Physician
License number
01035167B
Date granted
07/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10107 North 575 East, Demotte IN 46310
indianalicensing.org
ID 5866932
LAST UPDATED 2024-05-11 12:09:05 UTC
LAST UPDATED 2024-05-11 12:09:05 UTC
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