Indiana
Professional Licensing Agency
Jennifer Hummel Carlos
Controlled Substance Registration - Physician
License number
01054798B
Date granted
08/03/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10649 Reel Creek Ln S, Brownsburg IN 46112
indianalicensing.org
ID 5830821
LAST UPDATED 2024-04-12 18:25:34 UTC
LAST UPDATED 2024-04-12 18:25:34 UTC
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