Indiana
Professional Licensing Agency
Jeffrey Scott Groothuis
Controlled Substance Registration - Physician
License number
01045118B
Date granted
05/23/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Vincent Medical Group, Inc, 1928 S Dixon Road, Kokomo IN 46902
indianalicensing.org
ID 5876303
LAST UPDATED 2024-03-10 07:14:01 UTC
LAST UPDATED 2024-03-10 07:14:01 UTC
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