BEVERLY JOY Brooks
Controlled Substance Registration - Physician
Indiana 01040050C Expired
This Indiana license was held by BEVERLY JOY Brooks. The license is no longer active. It was granted on 10/02/2002 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01040050C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/02/2002 (over 22 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
Fort Wayne Medical Education Program, 2448 Lake Avenue, Fort Wayne IN 46805