Indiana
Professional Licensing Agency
Randy Brush
Physician Assistant
License number
10001478A
Date granted
11/29/2012
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
South Bend IN 46635
indianalicensing.org
ID 8391975
LAST UPDATED 2024-02-04 14:05:36 UTC
LAST UPDATED 2024-02-04 14:05:36 UTC
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