Indiana
Professional Licensing Agency
Brad Louis Suprenant
Controlled Substance Registration-Osteopathic Physician
License number
02001098B
Date granted
06/29/1989
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
CardioSpecialist, Ltd, 801 MacArthur Boulevard, Suite 203, Munster IN 46321
indianalicensing.org
ID 5809836
LAST UPDATED 2024-02-11 09:18:23 UTC
LAST UPDATED 2024-02-11 09:18:23 UTC
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