Indiana
Professional Licensing Agency
Maria Eugenia Faget
Controlled Substance Registration - Physician
License number
01072028B
Date granted
01/09/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2516 Q Street, Bedford IN 47421
indianalicensing.org
ID 5822381
LAST UPDATED 2024-03-10 17:32:02 UTC
LAST UPDATED 2024-03-10 17:32:02 UTC
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