License holder summary

Jennifer Jeanette Parks is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jennifer Jeanette Parks is St Vincent Medical Group, 138 N Dixon Road, Kokomo IN 46902. This licensed professional license is not current. The license was granted 01/24/2013 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Jennifer Jeanette Parks
Controlled Substance Registration - Physician
License number
01072082B
Date granted
01/24/2013
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St Vincent Medical Group, 138 N Dixon Road, Kokomo IN 46902
indianalicensing.org
ID 5876312
LAST UPDATED 2024-02-23 04:20:53 UTC

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