Indiana
Professional Licensing Agency
Janet Jenkin Imp
Controlled Substance Registration - Physician
License number
01055178B
Date granted
11/19/2001
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Witham Health Services, Pediatrics, 2505 N. Lebanon Street, Lebanon IN 46052
indianalicensing.org
ID 5883777
LAST UPDATED 2024-03-31 20:27:05 UTC
LAST UPDATED 2024-03-31 20:27:05 UTC
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