Indiana
Professional Licensing Agency
Jeffrey Richard Ihlendorf
Controlled Substance Registration - Physician
License number
01063183B
Date granted
02/09/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Medical Group- Primary Care, 1115 N. Ronald Reagan Pkwy. Suite 141, Avon IN 46123
indianalicensing.org
ID 5820241
LAST UPDATED 2024-03-31 14:31:09 UTC
LAST UPDATED 2024-03-31 14:31:09 UTC
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