Larry R. Brazley

Controlled Substance Registration - Physician

Indiana  01032396B   Active

This Indiana license is held by Larry R. Brazley. The license is currently active. It was granted on 02/28/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01032396B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 02/28/1986 (about 39 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

255 E. 90th Drive, Suite W1, Merrillville IN 46410