License holder summary

Jennifer Lynn Black is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jennifer Lynn Black is Orthopedics of Southern Indiana, 583 S. Clarizz Blvd., Bloomington IN 47401. This licensed professional license is current. The license was granted 09/24/2010 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Jennifer Lynn Black
Controlled Substance Registration-Physician Assistant
License number
10001094B
Date granted
09/24/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Orthopedics of Southern Indiana, 583 S. Clarizz Blvd., Bloomington IN 47401
indianalicensing.org
ID 8385837
LAST UPDATED 2024-03-25 12:41:08 UTC

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