License holder summary

Gregory Anthony Konrath is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gregory Anthony Konrath is Lafayette Orthopedics Clinic Inc., 1411 S. Creasy Lane Suite 120 PO Box 4699, Lafayette IN 47903-4699. This licensed professional license is not current. The license was granted 11/19/1998 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Gregory Anthony Konrath
Controlled Substance Registration - Physician
License number
01049739B
Date granted
11/19/1998
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Lafayette Orthopedics Clinic Inc., 1411 S. Creasy Lane Suite 120 PO Box 4699, Lafayette IN 47903-4699
indianalicensing.org
ID 5879505
LAST UPDATED 2024-04-17 17:33:02 UTC

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