Indiana
Professional Licensing Agency
ROBERT W PHARES
Controlled Substance Registration - Physician
License number
01013617B
Date granted
08/30/1940
Date expires
12/31/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1712 SOUTH MALFALFA ROAD, KOKOMO IN 46901
indianalicensing.org
ID 5877043
LAST UPDATED 2024-02-17 19:09:50 UTC
LAST UPDATED 2024-02-17 19:09:50 UTC
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