Indiana
Professional Licensing Agency
Larry E. Brooks
Controlled Substance Registration - Physician
License number
01030932B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
350 Greensburg St., PO Box 858, North Vernon IN 47265
indianalicensing.org
ID 5907730
LAST UPDATED 2024-03-22 21:09:42 UTC
LAST UPDATED 2024-03-22 21:09:42 UTC
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