Indiana
Professional Licensing Agency
Brandie Valencia-Moore Girmann
Physician Assistant
License number
10001086A
Date granted
06/12/2009
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Middletown OH 45042
indianalicensing.org
ID 8391090
LAST UPDATED 2026-05-04 06:35:18 UTC
LAST UPDATED 2026-05-04 06:35:18 UTC
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