Indiana
Professional Licensing Agency
Jeffrey Alan Penman
Controlled Substance Registration - Physician
License number
01036681B
Date granted
05/25/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Premier Healthcare for Women, 3774 Bayley Drive Ste B, Lafayette IN 47905-8647
indianalicensing.org
ID 5879722
LAST UPDATED 2024-02-07 23:00:25 UTC
LAST UPDATED 2024-02-07 23:00:25 UTC
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