License holder summary

Larry R. Brazley is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Larry R. Brazley is 255 E. 90th Drive, Suite W1, Merrillville IN 46410. This licensed professional license is current. The license was granted 02/28/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Larry R. Brazley
Controlled Substance Registration - Physician
License number
01032396B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
255 E. 90th Drive, Suite W1, Merrillville IN 46410
indianalicensing.org
ID 5890847
LAST UPDATED 2024-05-16 07:01:30 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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