Indiana
Professional Licensing Agency
Jancy Geo Pottanat
Controlled Substance Registration - Physician
License number
01040779B
Date granted
11/04/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Deaconess Clinic Gateway, 4233 Gateway Blvd, Newburgh IN 47630
indianalicensing.org
ID 5905671
LAST UPDATED 2024-04-09 22:55:31 UTC
LAST UPDATED 2024-04-09 22:55:31 UTC
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