Indiana
Professional Licensing Agency
Fred D. Drake
Controlled Substance Registration - Physician
License number
01024937B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
UAP Clinic, LLC, 1429 North 6th Street, Terre Haute IN 47807-1037
indianalicensing.org
ID 5925190
LAST UPDATED 2024-02-02 12:04:23 UTC
LAST UPDATED 2024-02-02 12:04:23 UTC
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