License holder summary

Jason Andrew Brooks is a Medical Residency Permit licensed to practice in Indiana. The address on file for Jason Andrew Brooks is Saint John IN 46373. This licensed professional license is not current. The license was granted 06/03/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Jason Andrew Brooks
Medical Residency Permit
License number
11012193A
Date granted
06/03/2004
Date expires
06/30/2005
Class
Medical Residency Permit
Status
Superceded
Address
Saint John IN 46373
indianalicensing.org
ID 5995072
LAST UPDATED 2024-03-15 08:44:56 UTC

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