Indiana
Professional Licensing Agency
JEAN ANN KENRICK
Controlled Substance Registration - Physician
License number
01028623B
Date granted
12/31/1985
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
200 E WINSLOW, BLOOMINGTON IN 47401
indianalicensing.org
ID 5824748
LAST UPDATED 2026-05-18 16:59:39 UTC
LAST UPDATED 2026-05-18 16:59:39 UTC
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