Indiana
Professional Licensing Agency
Jennifer Lynne Brooks
Controlled Substance Registration-Physician Assistant
License number
10001651B
Date granted
04/25/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Maple Center for Integrative Health, 1801 N. 6th Street, Suite 600, Terre Haute IN 47804
indianalicensing.org
ID 29180170
LAST UPDATED 2024-03-26 14:25:46 UTC
LAST UPDATED 2024-03-26 14:25:46 UTC
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