Indiana
Professional Licensing Agency
Carol Dallas Farr
Controlled Substance Registration - Physician
License number
01031918B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11407 forest knoll circle, fishers IN 46038
indianalicensing.org
ID 5851730
LAST UPDATED 2024-02-14 01:16:25 UTC
LAST UPDATED 2024-02-14 01:16:25 UTC
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