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
LAST UPDATED 2024-04-01 21:17:50 UTC
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