Indiana
Professional Licensing Agency
Monica Mae Brunelle
Controlled Substance Registration - Physician
License number
01024979B
Date granted
05/31/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10122 E. 10th Street, Suite 220, Indianapolis IN 46229
indianalicensing.org
ID 5870262
LAST UPDATED 2024-03-03 14:10:17 UTC
LAST UPDATED 2024-03-03 14:10:17 UTC
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