Indiana
Professional Licensing Agency
PATRICIA CHARLENE BROCK
Controlled Substance Registration-Osteopathic Physician
License number
02002037B
Date granted
02/22/1999
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
GREENTREE MEDICAL, 1615 BLACKISTONE VIEW DR, CLARKSVILLE IN 47129
indianalicensing.org
ID 5796752
LAST UPDATED 2026-04-19 02:17:46 UTC
LAST UPDATED 2026-04-19 02:17:46 UTC
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