FRANKLIN JOSEPH FIRESTONE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****89

NOT RENEWED

N

MD

FRANKLIN JOSEPH

FIRESTONE

FRANKLIN JOSEPH FIRESTONE MD

02/21/1984

02/21/1984

07/31/1993

MICHIGAN CITY

IN

46360

INDIANA

II III IV V

N

09/26/2006