Indiana
Professional Licensing Agency
Dale Avery Gray
Controlled Substance Registration - Physician
License number
01021157B
Date granted
04/13/2006
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Locum Tenens, 781 North 1100 West, Kempton IN 46049
indianalicensing.org
ID 5874709
LAST UPDATED 2024-03-10 03:07:35 UTC
LAST UPDATED 2024-03-10 03:07:35 UTC
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