License holder summary

Jennifer Lynn Gage is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jennifer Lynn Gage is AMI CULVER UNION HOSPITAL, 1710 LAFAYETTE ROAD, CRAWFORDSVILLE IN 47933. This licensed professional license is not current. The license was granted 08/31/1995 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Jennifer Lynn Gage
Controlled Substance Registration - Physician
License number
01044213C
Date granted
08/31/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
AMI CULVER UNION HOSPITAL, 1710 LAFAYETTE ROAD, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5840236
LAST UPDATED 2024-02-06 18:54:27 UTC

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