License holder summary

W. Russell Farrell is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for W. Russell Farrell is Memorial Hospital - Emergency Department, 615 North Michigan Street, South Bend IN 46601. This licensed professional license is current. The license was granted 10/21/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

W. Russell Farrell
Controlled Substance Registration - Physician
License number
01041908B
Date granted
10/21/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Hospital - Emergency Department, 615 North Michigan Street, South Bend IN 46601
indianalicensing.org
ID 5922570
LAST UPDATED 2024-04-01 21:17:50 UTC

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