Ohio
Board of Licensing
Brooke Ann Lange
Medical Board - 50.Physician Assistant
License number
50.004109
Date granted
09/11/2014
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
Celina, OH 45822
ohiolicensing.org
ID 29585232
LAST UPDATED 2024-05-18 07:23:39 UTC
LAST UPDATED 2024-05-18 07:23:39 UTC