License Information

The holder whose full name is Southerland, Brooke Suzanne,come from Indianapolis IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001364A) which status is Active.

NameSoutherland, Brooke Suzanne
License Number10001364A
License TypePhysician Assistant - Prescriptive Authority
License StatusActive
CityIndianapolis
StateIN

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