Indiana
Professional Licensing Agency
Jennifer Anne Pennington
Controlled Substance Registration-Osteopathic Physician
License number
02003207B
Date granted
05/24/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Memorial Medical Group, 4630 Vistala Road, Mishawaka IN 46544
indianalicensing.org
ID 5809162
LAST UPDATED 2026-03-28 12:53:01 UTC
LAST UPDATED 2026-03-28 12:53:01 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.