Indiana
Professional Licensing Agency
Fae H. Spurlock
Controlled Substance Registration - Physician
License number
01014229B
Date granted
01/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2550 KENT AVENUE, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5934001
LAST UPDATED 2024-02-18 20:01:57 UTC
LAST UPDATED 2024-02-18 20:01:57 UTC
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