License holder summary

Brandon Aaron Russell is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Brandon Aaron Russell is Emergency Medicine of Indiana, 10351 Dawson Creek Blvd Ste A-1, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 06/09/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Brandon Aaron Russell
Controlled Substance Registration-Osteopathic Physician
License number
02003088B
Date granted
06/09/2006
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Emergency Medicine of Indiana, 10351 Dawson Creek Blvd Ste A-1, Fort Wayne IN 46825
indianalicensing.org
ID 5800262
LAST UPDATED 2024-04-14 05:39:00 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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