Indiana
Professional Licensing Agency
Brian Ray Darrisaw
Controlled Substance Registration - Physician
License number
01040816B
Date granted
11/16/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1664 Smith Valley Road, Greenwood IN 46142
indianalicensing.org
ID 5861538
LAST UPDATED 2024-02-21 05:29:09 UTC
LAST UPDATED 2024-02-21 05:29:09 UTC
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