Indiana
Professional Licensing Agency
Joi F. Bradshaw
Controlled Substance Registration - Physician
License number
01061166B
Date granted
08/17/2005
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2269 W 25th Ave, Gary IN 46404
indianalicensing.org
ID 5856784
LAST UPDATED 2024-03-18 18:17:29 UTC
LAST UPDATED 2024-03-18 18:17:29 UTC
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