Indiana
Professional Licensing Agency
Jack David Kunberger
Controlled Substance Registration - Physician
License number
01068425B
Date granted
06/25/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
15707 Old Lima Rd., Huntertown IN 46748
indianalicensing.org
ID 5868163
LAST UPDATED 2024-05-06 10:54:15 UTC
LAST UPDATED 2024-05-06 10:54:15 UTC
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