Indiana
Professional Licensing Agency
Douglas La Vern Jarvis
Controlled Substance Registration-Osteopathic Physician
License number
02001719B
Date granted
03/28/1996
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
56218 Parkway Ave, Suite B, Elkhart IN 46516
indianalicensing.org
ID 5799157
LAST UPDATED 2024-03-24 06:23:20 UTC
LAST UPDATED 2024-03-24 06:23:20 UTC
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