License holder summary

James Dennis Brodersen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for James Dennis Brodersen is 6850 HOHMAN AVE, HAMMOND IN 46324. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

James Dennis Brodersen
Controlled Substance Registration - Physician
License number
01021999B
Date granted
04/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6850 HOHMAN AVE, HAMMOND IN 46324
indianalicensing.org
ID 5864176
LAST UPDATED 2024-02-06 22:22:19 UTC

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