Indiana
Professional Licensing Agency
JENNIE LEE PAYNE
Controlled Substance Registration - Physician
License number
01047314B
Date granted
07/25/1997
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOHNS HEALTH SYSTEM, ATTN: MEDICAL STAFF OFFICE, 2015 JACKSON STREET, ANDERSON IN 46016
indianalicensing.org
ID 5817466
LAST UPDATED 2024-04-03 06:18:15 UTC
LAST UPDATED 2024-04-03 06:18:15 UTC
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