Indiana
Professional Licensing Agency
Terry Ray Brown
Controlled Substance Registration - Physician
License number
01027510B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1025 First Avenue, Jasper IN 47546
indianalicensing.org
ID 5872139
LAST UPDATED 2024-03-01 14:17:04 UTC
LAST UPDATED 2024-03-01 14:17:04 UTC
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