Indiana
Professional Licensing Agency
BARRY A LONG
Controlled Substance Registration - Physician
License number
01038417B
Date granted
06/07/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4601 SOUTH 7TH STREET, TERRE HAUTE IN 47802
indianalicensing.org
ID 5924696
LAST UPDATED 2024-04-22 09:54:55 UTC
LAST UPDATED 2024-04-22 09:54:55 UTC
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