Indiana
Professional Licensing Agency
Jane Bearss Fesenmeier
Controlled Substance Registration - Physician
License number
01040071B
Date granted
05/08/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
475 East Northfield Drive Suite B, Brownsburg IN 46112
indianalicensing.org
ID 5828831
LAST UPDATED 2024-03-20 23:24:56 UTC
LAST UPDATED 2024-03-20 23:24:56 UTC
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