License holder summary

KRISTIN ADELE JENSEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KRISTIN ADELE JENSEN is LOGANSPORT MEMORIAL HOSP, 1101 MICHIGAN AVENUE, LOGANSPORT IN 46947. This licensed professional license is not current. The license was granted 08/05/1987 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

KRISTIN ADELE JENSEN
Controlled Substance Registration - Physician
License number
01036168B
Date granted
08/05/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT MEMORIAL HOSP, 1101 MICHIGAN AVENUE, LOGANSPORT IN 46947
indianalicensing.org
ID 5885291
LAST UPDATED 2024-02-11 23:55:41 UTC

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