Indiana
Professional Licensing Agency
Brooke Baileigh Kutka
Physician Assistant
License number
10001030A
Date granted
09/26/2008
Date expires
06/30/2010
Class
Physician Assistant
Status
Expired
Address
Fort Wayne IN 46818
indianalicensing.org
ID 8389812
LAST UPDATED 2024-04-09 21:13:51 UTC
LAST UPDATED 2024-04-09 21:13:51 UTC
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