Indiana
Professional Licensing Agency
Edwin V. Pratt
Controlled Substance Registration - Physician
License number
01064487B
Date granted
10/26/2007
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1100 W. Sixth Avenue, Gary IN 46402
indianalicensing.org
ID 5856520
LAST UPDATED 2024-04-14 13:17:02 UTC
LAST UPDATED 2024-04-14 13:17:02 UTC
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