License holder summary

Jill Anne Burden is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Jill Anne Burden is St. Elizabeth Medical Center, 114 Exective Drive Suite# E, Lafayette IN 47905. This licensed professional license is not current. The license was granted 02/11/2009 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Jill Anne Burden
Controlled Substance Registration-Osteopathic Physician
License number
02003460B
Date granted
02/11/2009
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
St. Elizabeth Medical Center, 114 Exective Drive Suite# E, Lafayette IN 47905
indianalicensing.org
ID 5806986
LAST UPDATED 2024-04-21 05:39:31 UTC

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