Deeya Delynn Brooks Phalora
Controlled Substance Registration - Physician
Indiana 01057484B Active
This Indiana license is held by Deeya Delynn Brooks Phalora. The license is currently active. It was granted on 04/15/2003 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01057484B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/15/2003 (over 23 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
2781 E. 236th Street, Cicero IN 46034-9491
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