License holder summary

PHILIP ELDEN PRATHER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for PHILIP ELDEN PRATHER is 123 MAGNOLIA DRIVE, KOKOMO IN 46901. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

PHILIP ELDEN PRATHER
Controlled Substance Registration - Physician
License number
01016529B
Date granted
12/31/1985
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
123 MAGNOLIA DRIVE, KOKOMO IN 46901
indianalicensing.org
ID 5876866
LAST UPDATED 2024-04-29 19:03:32 UTC

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