Indiana
Professional Licensing Agency
Larry Faines
Controlled Substance Registration - Physician
License number
01070916B
Date granted
04/04/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1451 N. Gardner St., Scottsburg IN 47170
indianalicensing.org
ID 5917730
LAST UPDATED 2024-04-24 05:08:59 UTC
LAST UPDATED 2024-04-24 05:08:59 UTC
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