J BROOKS DICKERSON
Controlled Substance Registration - Physician
Indiana 01028572B Active
This Indiana license is held by J BROOKS DICKERSON. The license is currently active. It was granted on 12/16/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01028572B
- Category: CSR-Physician
- Status: Active
- Date Granted: 12/16/1986 (over 39 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
5165 McCarty lane, Lafayette IN 47905
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