Indiana
Professional Licensing Agency
JAN ELISE SANDERS
Controlled Substance Registration - Physician
License number
01038653B
Date granted
08/30/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Bend Clinic, 211 N. Eddy Street, South Bend IN 46617
indianalicensing.org
ID 5921200
LAST UPDATED 2024-02-28 11:06:40 UTC
LAST UPDATED 2024-02-28 11:06:40 UTC
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