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 2026-04-06 00:06:20 UTC
LAST UPDATED 2026-04-06 00:06:20 UTC
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