License holder summary

JENNIE ELLEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JENNIE ELLEN is SOUTHERN INDIANA REHABILITATION HOSPITAL, 3104 BLACKISTON BLVD, NEW ALBANY IN 47150. This licensed professional license is not current. The license was granted 08/28/1997 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

JENNIE ELLEN
Controlled Substance Registration - Physician
License number
01047420B
Date granted
08/28/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTHERN INDIANA REHABILITATION HOSPITAL, 3104 BLACKISTON BLVD, NEW ALBANY IN 47150
indianalicensing.org
ID 5902840
LAST UPDATED 2024-04-16 09:41:06 UTC

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