Indiana
Professional Licensing Agency
James Waldemar Jensen
Controlled Substance Registration - Physician
License number
01024249B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
115 Beverly Court, Michigan City IN 46360
indianalicensing.org
ID 5892775
LAST UPDATED 2024-05-17 02:41:13 UTC
LAST UPDATED 2024-05-17 02:41:13 UTC
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