Indiana
Professional Licensing Agency
Michael Thomas Brendle
Controlled Substance Registration - Physician
License number
01038512B
Date granted
04/03/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 W. Edison, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895624
LAST UPDATED 2024-04-14 17:05:02 UTC
LAST UPDATED 2024-04-14 17:05:02 UTC
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