Indiana
Professional Licensing Agency
Jamie Nicole Hannah
Controlled Substance Registration - Physician
License number
01066408B
Date granted
04/21/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Sandcrest Family Medicine, 3203 Middle Road, Columbus IN 47203
indianalicensing.org
ID 5836434
LAST UPDATED 2024-05-14 19:53:30 UTC
LAST UPDATED 2024-05-14 19:53:30 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.