Michael Fang

Controlled Substance Registration - Physician

Indiana  01065093B   Active

This Indiana license is held by Michael Fang. The license is currently active. It was granted on 04/18/2008 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01065093B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/18/2008 (about 17 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

St. Margaret Mercy Healthcare- Medical Staff Office, 5454 Hohman Avenue, Hammond IN 46320-1931