Indiana
Professional Licensing Agency
JEAN N WANNER
Controlled Substance Registration-Osteopathic Physician
License number
02001798B
Date granted
10/24/1996
Date expires
06/30/2007
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
THE COMMUNITY HOSPITAL, 901 MAC ARTHUR BLVD, MUNSTER IN 46321
indianalicensing.org
ID 5810025
LAST UPDATED 2024-02-05 20:10:01 UTC
LAST UPDATED 2024-02-05 20:10:01 UTC
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