License holder summary

M. Ann Jonkman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for M. Ann Jonkman is Preferred Pediatrics of Lafayette, 3774 Bayley Drive, Suite A, Lafayette IN 47905-8651. This licensed professional license is current. The license was granted 04/09/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

M. Ann Jonkman
Controlled Substance Registration - Physician
License number
01053805B
Date granted
04/09/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Preferred Pediatrics of Lafayette, 3774 Bayley Drive, Suite A, Lafayette IN 47905-8651
indianalicensing.org
ID 5880182
LAST UPDATED 2024-04-16 13:04:58 UTC

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