Indiana
Professional Licensing Agency
Thomas A. Brozek
Controlled Substance Registration-Osteopathic Physician
License number
02004328B
Date granted
10/28/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Indiana Emergency Care, 3652 Rome Dr., Suite A, Lafayette IN 47905
indianalicensing.org
ID 11947404
LAST UPDATED 2024-02-26 04:55:32 UTC
LAST UPDATED 2024-02-26 04:55:32 UTC
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