Indiana
Professional Licensing Agency
Marcia Sinclair Favali
Controlled Substance Registration - Physician
License number
01033320B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Associated Physicians & Surgeons Clinic, LLC, 221 S 6TH STREET, TERRE HAUTE IN 47807
indianalicensing.org
ID 5925945
LAST UPDATED 2024-04-29 00:18:05 UTC
LAST UPDATED 2024-04-29 00:18:05 UTC
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