Indiana
Professional Licensing Agency
Carlos D Faustino
Controlled Substance Registration - Physician
License number
01026097B
Date granted
06/30/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MARION GENERAL HOSPITAL, WABASH AT EUCLID AVENUE, MARION IN 46952
indianalicensing.org
ID 5887761
LAST UPDATED 2024-03-18 09:06:31 UTC
LAST UPDATED 2024-03-18 09:06:31 UTC
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