Indiana
Professional Licensing Agency
Martin Walter Pruss
Controlled Substance Registration - Physician
License number
01073482B
Date granted
04/23/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Family Medicine Center South, 1406 West Bella Drive, Marion IN 46953
indianalicensing.org
ID 27713422
LAST UPDATED 2024-03-16 05:02:37 UTC
LAST UPDATED 2024-03-16 05:02:37 UTC
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