JENNIFER ANN BRAKE
Controlled Substance Registration - Physician
Indiana 01058572B Active
This Indiana license is held by JENNIFER ANN BRAKE. The license is currently active. It was granted on 02/20/2004 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01058572B
- Category: CSR-Physician
- Status: Active
- Date Granted: 02/20/2004 (over 22 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
OSMC, 2310 California Rd, Elkhart IN 46514
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