Phyllis Elaine Bragg
Apn Prescriptive Authority
Indiana 71003158A Expired
This Indiana license was held by Phyllis Elaine Bragg. The license is no longer active. It was granted on 12/31/2009 and expired on 10/31/2011
LICENSE DETAILS
- License Number: 71003158A
- Category: APN Prescriptive Authority
- Status: Expired
- Date Granted: 12/31/2009 (over 15 years ago)
- Expiry Date: 10/31/2011 (over 13 years ago)
LOCATIONS
A Address
Fort Wayne IN 46835