Indiana
Professional Licensing Agency
Jennifer Kathleen Malcolm
Controlled Substance Registration-Osteopathic Physician
License number
02003812B
Date granted
07/11/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
University of Notre Dame St. Liam Hall, Notre Dame IN 46556
indianalicensing.org
ID 5811013
LAST UPDATED 2024-05-15 04:25:08 UTC
LAST UPDATED 2024-05-15 04:25:08 UTC
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