License holder summary

PATRICIA SUE PREHARA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PATRICIA SUE PREHARA is BOX 80 RR#1 JOYCE AVE, CICERO IN 46034. This licensed professional license is not current. The license was granted 02/12/1976 and expired on 03/31/1983.

Indiana

Professional Licensing Agency

PATRICIA SUE PREHARA
Controlled Substance Registration - Physician
License number
01026730B
Date granted
02/12/1976
Date expires
03/31/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BOX 80 RR#1 JOYCE AVE, CICERO IN 46034
indianalicensing.org
ID 5834075
LAST UPDATED 2024-02-22 12:19:22 UTC

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