Rafik Shawky Fouad Farag
Controlled Substance Registration - Physician
Indiana 01021342B Active
This Indiana license is held by Rafik Shawky Fouad Farag. The license is currently active. It was granted on 10/31/1985 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01021342B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/31/1985 (over 40 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
2019 S. Farview Lane, Peru IN 46970
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