Indiana
Professional Licensing Agency
Jennifer Marguerite Maya
Controlled Substance Registration - Physician
License number
01067984B
Date granted
05/21/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Healthlinc, Inc, 1001 Sturdy Road, Valparaiso IN 46383-6532
indianalicensing.org
ID 5928780
LAST UPDATED 2024-07-01 09:59:36 UTC
LAST UPDATED 2024-07-01 09:59:36 UTC
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