Indiana
Professional Licensing Agency
Lisa J. Jerrells
Controlled Substance Registration - Physician
License number
01052568B
Date granted
06/30/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Joie de Vivre, LLC, 1535 S. Piazza Drive, Bloomington IN 47401
indianalicensing.org
ID 5825096
LAST UPDATED 2024-04-13 06:14:36 UTC
LAST UPDATED 2024-04-13 06:14:36 UTC
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