Indiana
Professional Licensing Agency
Jessica Lyn Swenberg
Controlled Substance Registration - Physician
License number
01052923B
Date granted
06/20/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
55 Brendon Way, Ste 800, Zionsville IN 46077
indianalicensing.org
ID 5936823
LAST UPDATED 2024-05-07 01:27:12 UTC
LAST UPDATED 2024-05-07 01:27:12 UTC
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