Indiana
Professional Licensing Agency
Jenny Michelle Tristano
Controlled Substance Registration - Physician
License number
01070675B
Date granted
02/10/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary Medical Center, 1500 S. Lake Park Ave., Hobart IN 46342
indianalicensing.org
ID 5867203
LAST UPDATED 2026-04-03 01:20:05 UTC
LAST UPDATED 2026-04-03 01:20:05 UTC
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