Indiana
Professional Licensing Agency
Jamie R. Ulbrich
Controlled Substance Registration - Physician
License number
01066902B
Date granted
07/06/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Avon Family Medicine, 8244 East US 36 Ste 100, Avon IN 46123
indianalicensing.org
ID 5820160
LAST UPDATED 2024-04-19 06:08:04 UTC
LAST UPDATED 2024-04-19 06:08:04 UTC
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