License holder summary

DAVID JOHN BROCKMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DAVID JOHN BROCKMAN is David J Brockman, 53760 GENERATIONS DRIVE, South Bend IN 46635. This licensed professional license is current. The license was granted 08/27/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

DAVID JOHN BROCKMAN
Controlled Substance Registration - Physician
License number
01040664B
Date granted
08/27/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
David J Brockman, 53760 GENERATIONS DRIVE, South Bend IN 46635
indianalicensing.org
ID 5920716
LAST UPDATED 2024-04-03 20:44:18 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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