Indiana
Professional Licensing Agency
Katherine Prillaman Brundage
Controlled Substance Registration - Physician
License number
01045643B
Date granted
08/29/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2001 Mowbray Street, Carmel IN 46032
indianalicensing.org
ID 5831043
LAST UPDATED 2024-03-20 23:14:32 UTC
LAST UPDATED 2024-03-20 23:14:32 UTC
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