License holder summary

Kenneth Allen Jongsma is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Kenneth Allen Jongsma is Saint Joseph Regional Memorial Center- Anesthesia Dep, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 05/17/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kenneth Allen Jongsma
Controlled Substance Registration-Osteopathic Physician
License number
02003070B
Date granted
05/17/2006
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Saint Joseph Regional Memorial Center- Anesthesia Dep, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5809179
LAST UPDATED 2024-03-14 07:22:09 UTC

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