License holder summary

BRENDA BRANKA JURICH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BRENDA BRANKA JURICH is LAFAYETTE BREAST CENTER, 1345 Unity Pl., Suite 220, Lafayette IN 47903-4699. This licensed professional license is current. The license was granted 09/30/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

BRENDA BRANKA JURICH
Controlled Substance Registration - Physician
License number
01033781B
Date granted
09/30/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
LAFAYETTE BREAST CENTER, 1345 Unity Pl., Suite 220, Lafayette IN 47903-4699
indianalicensing.org
ID 5878837
LAST UPDATED 2024-04-22 10:38:59 UTC

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