Indiana
Professional Licensing Agency
Hope C. Jordan
Controlled Substance Registration-Osteopathic Physician
License number
02001289B
Date granted
04/02/1992
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
333 Western Avenue, South Bend IN 46601
indianalicensing.org
ID 5813334
LAST UPDATED 2024-04-18 20:59:45 UTC
LAST UPDATED 2024-04-18 20:59:45 UTC
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