License holder summary

Jennifer Anne Pennington is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Jennifer Anne Pennington is Memorial Medical Group, 4630 Vistala Road, Mishawaka IN 46544. This licensed professional license is current. The license was granted 05/24/2007 and expired on 10/31/2015.

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 2024-04-12 05:00:07 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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