Indiana
Professional Licensing Agency
Brandon K. Connerly
Controlled Substance Registration - Physician
License number
01058296B
Date granted
11/14/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1601 E Whiskey Run Rd NE, New Salisbury IN 47161
indianalicensing.org
ID 5905129
LAST UPDATED 2024-05-09 19:50:01 UTC
LAST UPDATED 2024-05-09 19:50:01 UTC
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