Indiana
Professional Licensing Agency
Jeffrey Allyn Pruitt
Controlled Substance Registration - Physician
License number
01064053B
Date granted
06/29/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Daviess Community Hospital, 1314 Walnut Avenue, Washington IN 47501
indianalicensing.org
ID 5933241
LAST UPDATED 2024-04-23 17:57:25 UTC
LAST UPDATED 2024-04-23 17:57:25 UTC
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