Indiana
Professional Licensing Agency
Jennifer Herrell
Controlled Substance Registration - Physician
License number
01062489C
Date granted
07/14/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6 Victoria Dr., Newburgh IN 47630
indianalicensing.org
ID 5905705
LAST UPDATED 2024-04-26 04:58:39 UTC
LAST UPDATED 2024-04-26 04:58:39 UTC
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