Indiana
Professional Licensing Agency
Kirk Bradley Jensen
Controlled Substance Registration - Physician
License number
01029324B
Date granted
07/17/1979
Date expires
09/30/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARGARET'S HOSPITAL, 25 DOUGLAS STREET, HAMMOND IN 46320
indianalicensing.org
ID 5864466
LAST UPDATED 2026-05-28 12:16:05 UTC
LAST UPDATED 2026-05-28 12:16:05 UTC
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