Indiana
Professional Licensing Agency
Jessica B. Barks
Controlled Substance Registration-Osteopathic Physician
License number
02003846B
Date granted
05/20/2011
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
St. Vincent Hospital-, 2001 West 86th, Indianapolis IN 46206
indianalicensing.org
ID 5804755
LAST UPDATED 2024-02-15 00:59:56 UTC
LAST UPDATED 2024-02-15 00:59:56 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.