DIRK THOMAS PRUIS
Controlled Substance Registration - Physician
Indiana 01030414B Expired
This Indiana license was held by DIRK THOMAS PRUIS. The license is no longer active. It was granted on 10/31/1985 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01030414B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/31/1985 (over 39 years ago)
- Expiry Date: 06/30/1991 (almost 34 years ago)
LOCATIONS
A Address
1380 CHESTER BLVD, RICHMOND IN 47374