License holder summary

JODY WREN ZYLKE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JODY WREN ZYLKE is 9120 COLUMBIA AVENUE, MUNSTER IN 46321. This licensed professional license is not current. The license was granted 11/18/1985 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

JODY WREN ZYLKE
Controlled Substance Registration - Physician
License number
01034791B
Date granted
11/18/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9120 COLUMBIA AVENUE, MUNSTER IN 46321
indianalicensing.org
ID 5900573
LAST UPDATED 2024-02-25 03:39:29 UTC

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