Randall Bruce Brigham
Health Facility Admin Board - Preceptor Eligible
Indiana 15003934A Expired
This Indiana license was held by Randall Bruce Brigham. The license is no longer active. It was granted on 11/17/2000 and expired on 06/01/2002
LICENSE DETAILS
- License Number: 15003934A
- Category: Preceptor Eligible
- Status: Expired
- Date Granted: 11/17/2000 (over 23 years ago)
- Expiry Date: 06/01/2002 (about 22 years ago)
LOCATIONS
A Address
Lafayette IN 47909