Indiana
Professional Licensing Agency
D. Joseph Faulkner, II
Controlled Substance Registration - Physician
License number
01068190B
Date granted
05/10/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center-Plymouth, 1915 Lake Ave., Plymouth IN 46563
indianalicensing.org
ID 5910383
LAST UPDATED 2024-03-15 03:03:16 UTC
LAST UPDATED 2024-03-15 03:03:16 UTC
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