Indiana
Professional Licensing Agency
Jacqueline Denkabe
Controlled Substance Registration - Physician
License number
01060138B
Date granted
05/25/2005
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Tatum Family Health Center c/o Home Physicians, 1619 W. 5th Avenue, Gary IN 46406
indianalicensing.org
ID 5856714
LAST UPDATED 2026-04-30 10:13:20 UTC
LAST UPDATED 2026-04-30 10:13:20 UTC
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