Jared Layne Brock
Temporary Physician Assistant Permit
Indiana 99006558A Superceded
This Indiana license was held by Jared Layne Brock. The license is no longer active. It was granted on 08/20/2002 and expired on 05/20/2003
LICENSE DETAILS
- License Number: 99006558A
- Category: Temporary PA Permit
- Status: Superceded
- Date Granted: 08/20/2002 (almost 22 years ago)
- Expiry Date: 05/20/2003 (about 21 years ago)
LOCATIONS
A Address
Columbus IN 47201