Blaine W. Farley
Controlled Substance Registration - Physician
Indiana 01037676B Active
This Indiana license is held by Blaine W. Farley. The license is currently active. It was granted on 08/02/1989 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01037676B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/02/1989 (about 37 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
12452 Anchorage Way, Fishers IN 46038
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