Indiana
Professional Licensing Agency
Payton Gordon Brown
Controlled Substance Registration - Physician
License number
01043159B
Date granted
10/14/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
411 S. Whitlock St., Bremen IN 46506
indianalicensing.org
ID 5895701
LAST UPDATED 2024-02-27 11:40:59 UTC
LAST UPDATED 2024-02-27 11:40:59 UTC
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