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 2024-06-07 20:18:28 UTC
LAST UPDATED 2024-06-07 20:18:28 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.