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 2024-05-04 07:01:50 UTC
LAST UPDATED 2024-05-04 07:01:50 UTC
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