Indiana
Professional Licensing Agency
Jessica L. Bruskoski
Controlled Substance Registration-Physician Assistant
License number
10001374B
Date granted
03/01/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Methodist Hospitals, 8701 Broadway, Merrillville IN 46410
indianalicensing.org
ID 8387880
LAST UPDATED 2024-04-16 18:29:46 UTC
LAST UPDATED 2024-04-16 18:29:46 UTC
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