Philip Angelo Faraci
Controlled Substance Registration - Physician
Indiana 01034774B Active
This Indiana license is held by Philip Angelo Faraci. The license is currently active. It was granted on 03/30/1995 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01034774B
- Category: CSR-Physician
- Status: Active
- Date Granted: 03/30/1995 (about 30 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
ST MARGARET MERCY HEALTHCARE CENTER, 5454 HOHMAN AVENUE, HAMMOND IN 46320
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