Johann David Farley

Controlled Substance Registration - Physician

Indiana  01060680B   Active

This Indiana license is held by Johann David Farley. The license is currently active. It was granted on 06/23/2005 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01060680B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/23/2005 (almost 20 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

2621 West Lincoln Highway, Merrillville IN 46410