Indiana
Professional Licensing Agency
Raymond Joseph Facco
Controlled Substance Registration - Physician
License number
01042301B
Date granted
06/01/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fort Wayne Radiology Association LLC, 3707 New Vision Dr. PO. Box 5602, Fort Wayne IN 46895-5602
indianalicensing.org
ID 5854230
LAST UPDATED 2024-03-16 00:40:18 UTC
LAST UPDATED 2024-03-16 00:40:18 UTC
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