License holder summary

Todd Gerald Prewitt is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Todd Gerald Prewitt is BROOKVILLE IMMEDIATE CARE, 11137 US 52 STE A, BROOKVILLE IN 47012. This licensed professional license is not current. The license was granted 10/01/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Todd Gerald Prewitt
Controlled Substance Registration - Physician
License number
01051153B
Date granted
10/01/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BROOKVILLE IMMEDIATE CARE, 11137 US 52 STE A, BROOKVILLE IN 47012
indianalicensing.org
ID 5828373
LAST UPDATED 2024-05-01 18:17:01 UTC

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