License holder summary

Jody Marie Barber is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jody Marie Barber is Radiology Inc., 620 W. Edison, Suite 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 09/20/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jody Marie Barber
Controlled Substance Registration - Physician
License number
01054618B
Date granted
09/20/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology Inc., 620 W. Edison, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895196
LAST UPDATED 2024-04-23 23:24:22 UTC

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