Indiana
Professional Licensing Agency
Gerard I. Duprat
Controlled Substance Registration - Physician
License number
01036966B
Date granted
08/31/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895022
LAST UPDATED 2024-05-18 13:09:49 UTC
LAST UPDATED 2024-05-18 13:09:49 UTC
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