License holder summary

Jerry Lee Jensen is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Jerry Lee Jensen is ILIANA SURGERY CENTER, 701 SUPERIOR AVENUE, DUPONT IN 47231. This licensed professional license is not current. The license was granted 08/17/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Jerry Lee Jensen
Controlled Substance Registration-Osteopathic Physician
License number
02001387B
Date granted
08/17/1995
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ILIANA SURGERY CENTER, 701 SUPERIOR AVENUE, DUPONT IN 47231
indianalicensing.org
ID 5798380
LAST UPDATED 2024-02-20 04:12:54 UTC

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