Indiana
Professional Licensing Agency
Bradley C Hurliman
Controlled Substance Registration-Physician Assistant
License number
10001021B
Date granted
09/05/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Randall Dermatology, 124 Sagamore Pkwy W, West Lafayette IN 47906
indianalicensing.org
ID 8388752
LAST UPDATED 2024-02-26 15:09:17 UTC
LAST UPDATED 2024-02-26 15:09:17 UTC
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