BARRY A LONG

Controlled Substance Registration - Physician

Indiana  01038417B   Active

This Indiana license is held by BARRY A LONG. The license is currently active. It was granted on 06/07/1990 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01038417B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/07/1990 (almost 35 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

4601 SOUTH 7TH STREET, TERRE HAUTE IN 47802