License holder summary

Jason N Bronfman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jason N Bronfman is Scott Mem Hosp: Medical Staff Office, 1451 N Gardner Street, Scottsburg IN 47170. This licensed professional license is current. The license was granted 01/08/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jason N Bronfman
Controlled Substance Registration - Physician
License number
01063100B
Date granted
01/08/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Scott Mem Hosp: Medical Staff Office, 1451 N Gardner Street, Scottsburg IN 47170
indianalicensing.org
ID 5917658
LAST UPDATED 2024-03-29 07:49:12 UTC

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