License holder summary

David Weston Fairbanks is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for David Weston Fairbanks is St. Vincent Clay Hospital, 1206 East National Ave., Brazil IN 47834. This licensed professional license is current. The license was granted 05/19/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David Weston Fairbanks
Controlled Substance Registration - Physician
License number
01038731D
Date granted
05/19/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Vincent Clay Hospital, 1206 East National Ave., Brazil IN 47834
indianalicensing.org
ID 5827583
LAST UPDATED 2024-03-24 18:15:39 UTC

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