Indiana
Professional Licensing Agency
Patricia L. Harralson
Controlled Substance Registration - Physician
License number
01062486B
Date granted
07/14/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Grant Blackford Mental Health, 505 Wabash Avenue, Marion IN 46952
indianalicensing.org
ID 5888526
LAST UPDATED 2024-03-13 12:54:00 UTC
LAST UPDATED 2024-03-13 12:54:00 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.