License holder summary

Jill Suzanne Hollowell is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Jill Suzanne Hollowell is North Shore Health Center, 6450 US Hwy 6 PO Box 1430, Portage IN 46368. This licensed professional license is not current. The license was granted 10/23/2006 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Jill Suzanne Hollowell
Controlled Substance Registration-Osteopathic Physician
License number
02003136B
Date granted
10/23/2006
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
North Shore Health Center, 6450 US Hwy 6 PO Box 1430, Portage IN 46368
indianalicensing.org
ID 5811832
LAST UPDATED 2024-03-07 17:21:51 UTC

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