Indiana
Professional Licensing Agency
Bonnie Joy Brodkin
Controlled Substance Registration - Physician
License number
01034174B
Date granted
12/11/1987
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
101 SUNSET, Michigan City IN 46360
indianalicensing.org
ID 5892261
LAST UPDATED 2024-03-18 22:25:26 UTC
LAST UPDATED 2024-03-18 22:25:26 UTC
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