Indiana
Professional Licensing Agency
Jennifer Jones Bales
Controlled Substance Registration - Physician
License number
01057866B
Date granted
04/06/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1100 Reid Parkway, Richmond IN 47374
indianalicensing.org
ID 5913390
LAST UPDATED 2024-02-24 06:05:45 UTC
LAST UPDATED 2024-02-24 06:05:45 UTC
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