Indiana
Professional Licensing Agency
Isaac Joshua Faibisoff
Controlled Substance Registration - Physician
License number
01063497B
Date granted
04/11/2007
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margarets, 5454 Homan Avenue, Hammond IN 46320
indianalicensing.org
ID 5864154
LAST UPDATED 2024-05-17 21:46:58 UTC
LAST UPDATED 2024-05-17 21:46:58 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.