Indiana
Professional Licensing Agency
ANGELA L JARVIS
Controlled Substance Registration - Physician
License number
01046696B
Date granted
05/22/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
761 WAHSINGTON STREET, ROCKPORT IN 47635
indianalicensing.org
ID 5915243
LAST UPDATED 2024-04-02 19:27:02 UTC
LAST UPDATED 2024-04-02 19:27:02 UTC
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