Philip Angelo Faraci
Controlled Substance Registration - Physician
Indiana 01034774C Expired
This Indiana license was held by Philip Angelo Faraci. The license is no longer active. It was granted on 02/26/1986 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01034774C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/26/1986 (about 39 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
5500 HOHMAN AVENUE, HAMMOND IN 46320