Indiana
Professional Licensing Agency
John Antoine Fayyad
Controlled Substance Registration - Physician
License number
01038947B
Date granted
01/15/1991
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
601 FRANKLIN STREET #300, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892816
LAST UPDATED 2024-02-23 01:39:58 UTC
LAST UPDATED 2024-02-23 01:39:58 UTC
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