Indiana
Professional Licensing Agency
DOUGLAS ROBERT JENSEN
Controlled Substance Registration - Physician
License number
01033365B
Date granted
07/31/1986
Date expires
07/31/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ELKHART CLINIC, 303 NAPPANEE ST, P O BOX 201, ELKHART IN 46514
indianalicensing.org
ID 5847060
LAST UPDATED 2024-03-19 20:07:53 UTC
LAST UPDATED 2024-03-19 20:07:53 UTC
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