Indiana
Professional Licensing Agency
Brena Farrales
Controlled Substance Registration - Physician
License number
01021910B
Date granted
10/31/1984
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1010 WEST 8TH STREET, ANDERSON IN 46016
indianalicensing.org
ID 5816662
LAST UPDATED 2024-02-22 16:44:19 UTC
LAST UPDATED 2024-02-22 16:44:19 UTC
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