License holder summary

Everett Leroy Conrad is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Everett Leroy Conrad is 5605 N. State Rd. 59, Brazil IN 47834. This licensed professional license is current. The license was granted 11/30/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Everett Leroy Conrad
Controlled Substance Registration - Physician
License number
01019397B
Date granted
11/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5605 N. State Rd. 59, Brazil IN 47834
indianalicensing.org
ID 5827592
LAST UPDATED 2024-05-08 10:42:12 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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