Isaac Joshua Faibisoff
Controlled Substance Registration - Physician
Indiana 01063497B Expired
This Indiana license was held by Isaac Joshua Faibisoff. The license is no longer active. It was granted on 04/11/2007 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01063497B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/11/2007 (about 18 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
St. Margarets, 5454 Homan Avenue, Hammond IN 46320