Indiana
Professional Licensing Agency
Jon David Leipold
Controlled Substance Registration - Physician
License number
01020477B
Date granted
05/31/1983
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5776 51 GRAPE ROAD SUITE 230, MISHAWAKA IN 46545
indianalicensing.org
ID 5895241
LAST UPDATED 2024-02-06 18:27:23 UTC
LAST UPDATED 2024-02-06 18:27:23 UTC
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