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 2024-02-24 17:56:10 UTC
LAST UPDATED 2024-02-24 17:56:10 UTC
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