James Dennis Brodersen
Controlled Substance Registration - Physician
Indiana 01021999B Expired
This Indiana license was held by James Dennis Brodersen. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01021999B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1986 (about 39 years ago)
- Expiry Date: 06/30/1997 (almost 28 years ago)
LOCATIONS
A Address
6850 HOHMAN AVE, HAMMOND IN 46324