Indiana
Professional Licensing Agency
Paul Eugene Broderick
Controlled Substance Registration-Osteopathic Physician
License number
02001623B
Date granted
01/26/1995
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
49 Bills Boulevard, Martinsville IN 46151
indianalicensing.org
ID 5808535
LAST UPDATED 2024-04-11 07:06:06 UTC
LAST UPDATED 2024-04-11 07:06:06 UTC
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