Indiana
Professional Licensing Agency
DAVID D JENSEN
Controlled Substance Registration-Osteopathic Physician
License number
02001687C
Date granted
12/07/1995
Date expires
06/30/1997
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY NORTH EMER DEPT, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5802362
LAST UPDATED 2024-03-18 21:50:18 UTC
LAST UPDATED 2024-03-18 21:50:18 UTC
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