Indiana
Professional Licensing Agency
Jon Robert Brown
Controlled Substance Registration-Osteopathic Physician
License number
02004106B
Date granted
10/29/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
7950 W Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5800540
LAST UPDATED 2024-02-21 06:49:38 UTC
LAST UPDATED 2024-02-21 06:49:38 UTC
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