Indiana
Professional Licensing Agency
Tracy Praticia-Lee Murray
Controlled Substance Registration - Physician
License number
01064312B
Date granted
09/07/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IUMG - PC Clarian West, 1115 Ronald Reagan Pkwy, Ste 141, Avon IN 46123
indianalicensing.org
ID 5820750
LAST UPDATED 2024-05-14 14:48:04 UTC
LAST UPDATED 2024-05-14 14:48:04 UTC
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