Indiana
Professional Licensing Agency
Tonya R. Gillam Brown
Controlled Substance Registration - Physician
License number
01052818C
Date granted
05/14/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
American Health Network of Indiana, LLC, 2330 South Dixon Rd, Kokomo IN 46902
indianalicensing.org
ID 5877453
LAST UPDATED 2024-03-12 03:57:37 UTC
LAST UPDATED 2024-03-12 03:57:37 UTC
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