Indiana
Professional Licensing Agency
Jeanne Therese Grossman
Controlled Substance Registration - Physician
License number
01049002B
Date granted
12/07/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Corydon Medical Associates, 1263 Hospital Dr NW, Suite 250, Corydon IN 47112
indianalicensing.org
ID 5838832
LAST UPDATED 2024-03-21 15:02:32 UTC
LAST UPDATED 2024-03-21 15:02:32 UTC
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