Indiana
Professional Licensing Agency
Blaine W. Farley
Controlled Substance Registration - Physician
License number
01037676B
Date granted
08/02/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
12452 Anchorage Way, Fishers IN 46038
indianalicensing.org
ID 5851717
LAST UPDATED 2024-03-18 19:03:23 UTC
LAST UPDATED 2024-03-18 19:03:23 UTC
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