Indiana
Professional Licensing Agency
Jennifer Jo Boone
Controlled Substance Registration-Physician Assistant
License number
10001515B
Date granted
05/24/2013
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Pike Medical Consultants, 6040 W. 84th Street, Indianapolis IN 46278
indianalicensing.org
ID 8387214
LAST UPDATED 2024-03-14 14:01:49 UTC
LAST UPDATED 2024-03-14 14:01:49 UTC
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