License holder summary

Brooke Suzanne Southerland is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Brooke Suzanne Southerland is 1111 Ronald Reagan Pkwy., Avon IN 46123. This licensed professional license is current. The license was granted 05/28/2013 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Brooke Suzanne Southerland
Controlled Substance Registration-Physician Assistant
License number
10001364B
Date granted
05/28/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1111 Ronald Reagan Pkwy., Avon IN 46123
indianalicensing.org
ID 8385734
LAST UPDATED 2024-03-07 10:42:15 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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