Indiana
Professional Licensing Agency
Jessica Lynn Douyard
Controlled Substance Registration-Osteopathic Physician
License number
02004526B
Date granted
10/16/2014
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Fayette Regional Primary Care Center, 2025 Virginia Avenue, Connersville IN 47331
indianalicensing.org
ID 27693110
LAST UPDATED 2024-02-17 05:33:10 UTC
LAST UPDATED 2024-02-17 05:33:10 UTC
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