License holder summary

ROGER EARL BROCKMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROGER EARL BROCKMAN is COMMUNITY HOSPITAL, 1515 NORTH MADISON AVE, ANDERSON IN 46011. This licensed professional license is current. The license was granted 07/02/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

ROGER EARL BROCKMAN
Controlled Substance Registration - Physician
License number
01032980B
Date granted
07/02/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
COMMUNITY HOSPITAL, 1515 NORTH MADISON AVE, ANDERSON IN 46011
indianalicensing.org
ID 5818011
LAST UPDATED 2024-02-26 21:39:18 UTC

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