Indiana
Professional Licensing Agency
Jennifer Sue Moll-Bennett
Controlled Substance Registration - Physician
License number
01069488B
Date granted
06/29/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana University Health, 2900 W 16th Street, Bedford IN 47421
indianalicensing.org
ID 5822204
LAST UPDATED 2024-03-02 19:15:32 UTC
LAST UPDATED 2024-03-02 19:15:32 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.