Indiana
Professional Licensing Agency
Eric Ernest Prommer
Controlled Substance Registration - Physician
License number
01036829B
Date granted
07/06/1988
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2323 Ferry Street #203, Lafayette IN 47904
indianalicensing.org
ID 5879341
LAST UPDATED 2024-04-05 21:04:59 UTC
LAST UPDATED 2024-04-05 21:04:59 UTC
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