License holder summary

Jacqueline Henderson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jacqueline Henderson is St Mary Medical Center/Attn: Joy Sternal, 1500 South Lake Park Ave, Hobart IN 46342. This licensed professional license is not current. The license was granted 05/26/2004 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Jacqueline Henderson
Controlled Substance Registration - Physician
License number
01059200B
Date granted
05/26/2004
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St Mary Medical Center/Attn: Joy Sternal, 1500 South Lake Park Ave, Hobart IN 46342
indianalicensing.org
ID 5867205
LAST UPDATED 2024-04-30 23:04:42 UTC

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