Indiana
Professional Licensing Agency
Brandi Kathryn Ross- Douglas
Controlled Substance Registration - Physician
License number
01065198B
Date granted
05/27/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
302 Garden Trail, Michigan City IN 46360
indianalicensing.org
ID 5892266
LAST UPDATED 2024-05-05 20:37:04 UTC
LAST UPDATED 2024-05-05 20:37:04 UTC
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