Indiana
Professional Licensing Agency
RICHARD LEE JENSEN
Controlled Substance Registration-Osteopathic Physician
License number
02001582B
Date granted
10/04/1994
Date expires
06/30/2003
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ILLIANA SURGERY CENTER, 701 SUPERIOR AVENUE, MUNSTER IN 46321
indianalicensing.org
ID 5810179
LAST UPDATED 2024-04-27 23:37:28 UTC
LAST UPDATED 2024-04-27 23:37:28 UTC
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