License holder summary

CHARLES JOSEPH SPRAGUE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CHARLES JOSEPH SPRAGUE is NORTH CENTRAL INDIANA PEDIATRICS CTR LLC, 3506 S LAFOUNTAIN ST, KOKOMO IN 46902. This licensed professional license is not current. The license was granted 08/06/1997 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

CHARLES JOSEPH SPRAGUE
Controlled Substance Registration - Physician
License number
01047356B
Date granted
08/06/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
NORTH CENTRAL INDIANA PEDIATRICS CTR LLC, 3506 S LAFOUNTAIN ST, KOKOMO IN 46902
indianalicensing.org
ID 5875762
LAST UPDATED 2024-02-07 20:12:32 UTC

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