License holder summary

Jane Eloise Bradlaw is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Jane Eloise Bradlaw is Porter Hospital ER dept, 814 Laporte Avenue, Valparaiso IN 46383. This licensed professional license is current. The license was granted 08/16/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jane Eloise Bradlaw
Controlled Substance Registration-Osteopathic Physician
License number
02003905B
Date granted
08/16/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Porter Hospital ER dept, 814 Laporte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5814698
LAST UPDATED 2024-04-28 20:18:03 UTC

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