License holder summary

Jerica Nichole Brodhead is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jerica Nichole Brodhead is Urology of Indiana, LLC, 18051 River Avenue, Suite 202, Noblesville IN 46062-7092. This licensed professional license is current. The license was granted 12/13/2011 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Jerica Nichole Brodhead
Controlled Substance Registration-Physician Assistant
License number
10001219B
Date granted
12/13/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Urology of Indiana, LLC, 18051 River Avenue, Suite 202, Noblesville IN 46062-7092
indianalicensing.org
ID 8388186
LAST UPDATED 2024-03-12 12:07:11 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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