Indiana
Professional Licensing Agency
Amy Kirsten Jennings
Controlled Substance Registration-Osteopathic Physician
License number
02004016B
Date granted
05/25/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Good Samaritan Hospital, 520 S. 7th Street, Vincennes IN 47591
indianalicensing.org
ID 5814972
LAST UPDATED 2024-04-09 00:13:26 UTC
LAST UPDATED 2024-04-09 00:13:26 UTC
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