Indiana
Professional Licensing Agency
Gerald Joseph Longa
Controlled Substance Registration - Physician
License number
01034781B
Date granted
12/28/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
145 Hamilton Drive, Terre Haute IN 47803
indianalicensing.org
ID 5925284
LAST UPDATED 2024-03-02 20:57:57 UTC
LAST UPDATED 2024-03-02 20:57:57 UTC
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