Indiana
Professional Licensing Agency
Christian A Jenski
Controlled Substance Registration - Physician
License number
01069677B
Date granted
05/31/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St Mary's Medical Center, 1500 S Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 5866994
LAST UPDATED 2024-04-19 16:27:15 UTC
LAST UPDATED 2024-04-19 16:27:15 UTC
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