Indiana
Professional Licensing Agency
Johann David Farley
Controlled Substance Registration - Physician
License number
01060680B
Date granted
06/23/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2621 West Lincoln Highway, Merrillville IN 46410
indianalicensing.org
ID 5890599
LAST UPDATED 2024-04-09 13:22:56 UTC
LAST UPDATED 2024-04-09 13:22:56 UTC
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