License holder summary

Rafik Shawky Fouad Farag is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rafik Shawky Fouad Farag is 2019 S. Farview Lane, Peru IN 46970. This licensed professional license is current. The license was granted 10/31/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rafik Shawky Fouad Farag
Controlled Substance Registration - Physician
License number
01021342B
Date granted
10/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2019 S. Farview Lane, Peru IN 46970
indianalicensing.org
ID 5909595
LAST UPDATED 2024-03-08 11:31:14 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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