Indiana
Professional Licensing Agency
J BROOKS DICKERSON
Controlled Substance Registration - Physician
License number
01028572B
Date granted
12/16/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5165 McCarty lane, Lafayette IN 47905
indianalicensing.org
ID 5879596
LAST UPDATED 2024-04-05 17:25:37 UTC
LAST UPDATED 2024-04-05 17:25:37 UTC
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