Indiana
Professional Licensing Agency
Jacquelin B. Telesford
Controlled Substance Registration - Physician
License number
01063057B
Date granted
12/13/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fayette Regional Health System, 1941 Virginia Ave., Connersville IN 47331
indianalicensing.org
ID 5837872
LAST UPDATED 2024-05-06 16:47:56 UTC
LAST UPDATED 2024-05-06 16:47:56 UTC
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