Indiana
Professional Licensing Agency
Kristen Michelle Farthing
Controlled Substance Registration-Physician Assistant
License number
10001292B
Date granted
09/28/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Pike Medical Consultants, 6040 W. 84th Street, Indianapolis IN 46278
indianalicensing.org
ID 8387304
LAST UPDATED 2024-04-16 17:29:21 UTC
LAST UPDATED 2024-04-16 17:29:21 UTC
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