Indiana
Professional Licensing Agency
Ralph Martin Pratt, Jr.
Controlled Substance Registration - Physician
License number
01017480B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2325 BLACKMORE PLACE, MADISON IN 47250
indianalicensing.org
ID 5887146
LAST UPDATED 2024-03-19 18:36:51 UTC
LAST UPDATED 2024-03-19 18:36:51 UTC
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