Indiana
Professional Licensing Agency
Thomas Leland Prather
Controlled Substance Registration - Dentist
License number
12008023B
Date granted
06/30/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1941 WEST BOULEVARD, KOKOMO IN 46902
indianalicensing.org
ID 5106889
LAST UPDATED 2024-03-07 20:21:36 UTC
LAST UPDATED 2024-03-07 20:21:36 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.