Indiana
Professional Licensing Agency
Gary L. Prah
Controlled Substance Registration - Physician
License number
01026342B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1318 MAIN STREET, LAFAYETTE IN 47901
indianalicensing.org
ID 5879410
LAST UPDATED 2026-05-25 05:09:58 UTC
LAST UPDATED 2026-05-25 05:09:58 UTC
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