Indiana
Professional Licensing Agency
Jennifer Shirck Knapp
Controlled Substance Registration-Osteopathic Physician
License number
02003907B
Date granted
08/17/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Center for Behavioral Medicine, 1506 Osolo Road, Ste A, Elkhart IN 46516
indianalicensing.org
ID 5799215
LAST UPDATED 2024-03-29 18:46:39 UTC
LAST UPDATED 2024-03-29 18:46:39 UTC
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