Indiana
Professional Licensing Agency
Marlin R. Gray
Controlled Substance Registration - Physician
License number
01025358B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
925 N County Road 1100 E, Otwell IN 47564
indianalicensing.org
ID 5908536
LAST UPDATED 2024-02-25 19:55:30 UTC
LAST UPDATED 2024-02-25 19:55:30 UTC
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