License holder summary

Jennifer Marie Sult is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jennifer Marie Sult is Woodlawn Medical Professionals, 1400 E. 9th Street, Rochester IN 46975. This licensed professional license is current. The license was granted 07/21/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jennifer Marie Sult
Controlled Substance Registration - Physician
License number
01062520B
Date granted
07/21/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Woodlawn Medical Professionals, 1400 E. 9th Street, Rochester IN 46975
indianalicensing.org
ID 5915037
LAST UPDATED 2024-02-27 03:49:23 UTC

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