Indiana
Professional Licensing Agency
Jerry Ray Powell, II
Controlled Substance Registration - Physician
License number
01053633B
Date granted
01/31/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Tipton Family Practice Associates, INC, 239 Ash Street, Tipton IN 46072
indianalicensing.org
ID 5927210
LAST UPDATED 2024-03-24 22:58:15 UTC
LAST UPDATED 2024-03-24 22:58:15 UTC
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