License holder summary

ERIN B JUNGBAUER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ERIN B JUNGBAUER is Provident Family Healthcare, 1210 PROVIDENT DR SUITE B, WARSAW IN 46580. This licensed professional license is current. The license was granted 07/06/1990 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

ERIN B JUNGBAUER
Controlled Substance Registration - Physician
License number
01038535B
Date granted
07/06/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Provident Family Healthcare, 1210 PROVIDENT DR SUITE B, WARSAW IN 46580
indianalicensing.org
ID 5932529
LAST UPDATED 2024-02-29 04:36:47 UTC

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