License holder summary

GARY PHILLIP BRAZEL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GARY PHILLIP BRAZEL is 4520 WEST 8TH STREET, Anderson IN 46011. This licensed professional license is current. The license was granted 02/23/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

GARY PHILLIP BRAZEL
Controlled Substance Registration - Physician
License number
01037103B
Date granted
02/23/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4520 WEST 8TH STREET, Anderson IN 46011
indianalicensing.org
ID 5817197
LAST UPDATED 2024-04-11 09:04:06 UTC

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