Indiana
Professional Licensing Agency
JENNIFER L LACKMAN CHUPPE
Physician
License number
01037290A
Date granted
01/26/1989
Date expires
10/31/2015
Class
Physician
Status
Active
Address
SOUTH BEND IN 46615
indianalicensing.org
ID 6101319
LAST UPDATED 2026-07-25 21:45:08 UTC
LAST UPDATED 2026-07-25 21:45:08 UTC
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