Indiana
Professional Licensing Agency
Jennifer Ann Burns
Controlled Substance Registration - Physician
License number
01057409B
Date granted
04/01/2003
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Urology of Indiana, L.L.C., 679 East County Line Road, Greenwood IN 46143-1049
indianalicensing.org
ID 5861931
LAST UPDATED 2024-02-02 02:39:23 UTC
LAST UPDATED 2024-02-02 02:39:23 UTC
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