Indiana
Professional Licensing Agency
Brianna Lynn Maciejewski
Physician Assistant
License number
10001492A
Date granted
02/06/2013
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Lafayette IN 47909
indianalicensing.org
ID 8390840
LAST UPDATED 2024-05-01 00:13:20 UTC
LAST UPDATED 2024-05-01 00:13:20 UTC
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