Indiana
Professional Licensing Agency
Jeffry C. Rendel
Controlled Substance Registration - Physician
License number
01024807C
Date granted
07/20/2007
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired Non-Renewable
Address
St Joseph Primary Care, LLC, 1907 W Sycamore, Kokomo IN 46901
indianalicensing.org
ID 5876308
LAST UPDATED 2024-03-09 04:21:01 UTC
LAST UPDATED 2024-03-09 04:21:01 UTC
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