Indiana
Professional Licensing Agency
Jerry Lee Jensen
Controlled Substance Registration-Osteopathic Physician
License number
02001387B
Date granted
08/17/1995
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ILIANA SURGERY CENTER, 701 SUPERIOR AVENUE, DUPONT IN 47231
indianalicensing.org
ID 5798380
LAST UPDATED 2024-02-19 16:09:06 UTC
LAST UPDATED 2024-02-19 16:09:06 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.