Indiana
Professional Licensing Agency
Maria J Brazil
Controlled Substance Registration - Physician
License number
01042967C
Date granted
09/02/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Memorial Hospital, 1101 Michigan Avenue, Logansport IN 46947
indianalicensing.org
ID 5885360
LAST UPDATED 2024-02-09 13:04:45 UTC
LAST UPDATED 2024-02-09 13:04:45 UTC
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