License holder summary

LYNN RAY GULLEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for LYNN RAY GULLEY is Southern Indiana Pediatrics, 1701 SPRING STREET SUITE A, JEFFERSONVILLE IN 47130. This licensed professional license is current. The license was granted 05/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

LYNN RAY GULLEY
Controlled Substance Registration - Physician
License number
01031626B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Southern Indiana Pediatrics, 1701 SPRING STREET SUITE A, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873542
LAST UPDATED 2024-03-24 13:51:47 UTC

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