Indiana
Professional Licensing Agency
Gordon Duff Jensen
Controlled Substance Registration - Physician
License number
01067654B
Date granted
12/30/2009
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Whitewater Valley Care Pavillion, 450 Erie Street, PO BOX 929, Connersville IN 47331
indianalicensing.org
ID 5837849
LAST UPDATED 2024-03-13 00:25:59 UTC
LAST UPDATED 2024-03-13 00:25:59 UTC
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