License holder summary

JENNIFER ANN BRAKE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JENNIFER ANN BRAKE is OSMC, 2310 California Rd, Elkhart IN 46514. This licensed professional license is current. The license was granted 02/20/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JENNIFER ANN BRAKE
Controlled Substance Registration - Physician
License number
01058572B
Date granted
02/20/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
OSMC, 2310 California Rd, Elkhart IN 46514
indianalicensing.org
ID 5847515
LAST UPDATED 2024-03-21 04:08:33 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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