License holder summary

Farid T Fata is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Farid T Fata is GOSHEN GENERAL HOSP C/O PAULETTE BROWN, 200 HIGH PARK AVE, GOSHEN IN 46526. This licensed professional license is not current. The license was granted 04/12/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Farid T Fata
Controlled Substance Registration - Physician
License number
01049811B
Date granted
04/12/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GOSHEN GENERAL HOSP C/O PAULETTE BROWN, 200 HIGH PARK AVE, GOSHEN IN 46526
indianalicensing.org
ID 5858609
LAST UPDATED 2024-04-19 19:33:07 UTC

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