Indiana
Professional Licensing Agency
Jane Eloise Bradlaw
Controlled Substance Registration-Osteopathic Physician
License number
02003905B
Date granted
08/16/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Porter Hospital ER dept, 814 Laporte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5814698
LAST UPDATED 2024-04-24 17:21:55 UTC
LAST UPDATED 2024-04-24 17:21:55 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.