Gary L. Prah
Controlled Substance Registration - Physician
Indiana 01026342B Active
This Indiana license is held by Gary L. Prah. The license is currently active. It was granted on 02/28/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01026342B
- Category: CSR-Physician
- Status: Active
- Date Granted: 02/28/1986 (over 38 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
1318 MAIN STREET, LAFAYETTE IN 47901
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