Indiana
Professional Licensing Agency
Karin Melissa Gray
Controlled Substance Registration - Physician
License number
01042602B
Date granted
07/26/1994
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
1025 First Ave, Jasper IN 47546
indianalicensing.org
ID 5871765
LAST UPDATED 2024-04-29 02:00:08 UTC
LAST UPDATED 2024-04-29 02:00:08 UTC
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