Indiana
Professional Licensing Agency
Patsy S Detamore Brush
Controlled Substance Registration - Physician
License number
01034065B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8700 South 500 West, Warren IN 46792
indianalicensing.org
ID 5932348
LAST UPDATED 2024-04-26 20:29:49 UTC
LAST UPDATED 2024-04-26 20:29:49 UTC
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