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DEA - Drug Enforcement Administration
SAMPLE REPORT

Results will vary depending on the information you provide and state laws
governing the release of state public records data.

Reference: Subject, Joe A Subject
Report Compiled on February 15, 2004 at 11:51PM
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DEA - Drug Enforcement Administration
DIVERSION CONTROL PROGRAM


Name: BROUCEK, EMILY J MD
Registration Number: AB935xxxx
Exp Date: 04/11/2008
Address: CONTRA COSTA REGIONAL MED, MARTINEZ, CA 94553
Registration Number: 4950CD
CTR Business Type: PRACTITIONER