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
LAST UPDATED 2024-04-21 05:39:31 UTC
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