Indiana
Professional Licensing Agency
Jennifer B. Bradley
Controlled Substance Registration-Physician Assistant
License number
10001216B
Date granted
09/24/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Meridian Surgical Group, 11725 Illinois Street #240, Carmel IN 46032
indianalicensing.org
ID 8386015
LAST UPDATED 2024-03-07 11:09:46 UTC
LAST UPDATED 2024-03-07 11:09:46 UTC
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