Indiana
Professional Licensing Agency
Manucher Fardi
Controlled Substance Registration - Physician
License number
01038110B
Date granted
03/01/1990
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
TERRE HAUTE MEDICAL LABORATORY INC, 1505 NORTH SEVENTH STREET, TERRE HAUTE IN 47807
indianalicensing.org
ID 5925943
LAST UPDATED 2026-06-13 00:08:39 UTC
LAST UPDATED 2026-06-13 00:08:39 UTC
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