License holder summary

Gary L. Prah is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gary L. Prah is 1318 MAIN STREET, LAFAYETTE IN 47901. This licensed professional license is current. The license was granted 02/28/1986 and expired on 10/31/2015.

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 2024-05-05 13:07:04 UTC

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