Indiana
Professional Licensing Agency
Jeffrey Rosen
Controlled Substance Registration - Physician
License number
01063046B
Date granted
05/10/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
101 87th Avenue, Suite 430, Merrillville IN 46410
indianalicensing.org
ID 11956303
LAST UPDATED 2026-03-06 06:06:53 UTC
LAST UPDATED 2026-03-06 06:06:53 UTC
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