License holder summary

Jennifer Susan Mathew is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jennifer Susan Mathew is Knox Family Medical Center, 402 W. Culver Road, Knox IN 46534. This licensed professional license is not current. The license was granted 08/20/2002 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Jennifer Susan Mathew
Controlled Substance Registration - Physician
License number
01056624B
Date granted
08/20/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Knox Family Medical Center, 402 W. Culver Road, Knox IN 46534
indianalicensing.org
ID 5875369
LAST UPDATED 2024-04-01 00:49:43 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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