Indiana
Professional Licensing Agency
Don Lee Bradke
Controlled Substance Registration - Physician
License number
01051351B
Date granted
09/09/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
14745 Dixon Lake Trail, Plymouth IN 46563-8581
indianalicensing.org
ID 5910410
LAST UPDATED 2024-03-16 02:36:16 UTC
LAST UPDATED 2024-03-16 02:36:16 UTC
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