Indiana
Professional Licensing Agency
Bernadette Braze
Controlled Substance Registration-Osteopathic Physician
License number
02003354B
Date granted
05/08/2008
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Hammond Clinic, LLC, 7905 Calumet Avenue, Munster IN 46321
indianalicensing.org
ID 5809834
LAST UPDATED 2024-04-03 08:47:58 UTC
LAST UPDATED 2024-04-03 08:47:58 UTC
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