License holder summary

Yekaterina Fayn is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Yekaterina Fayn is Kosciusko Medical Group, 1205 Provident Drive, Suite A, Warsaw IN 46580. This licensed professional license is current. The license was granted 05/31/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Yekaterina Fayn
Controlled Substance Registration - Physician
License number
01069692B
Date granted
05/31/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Kosciusko Medical Group, 1205 Provident Drive, Suite A, Warsaw IN 46580
indianalicensing.org
ID 5933066
LAST UPDATED 2024-04-20 05:13:26 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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