License holder summary

Mary Anna Jansen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mary Anna Jansen is 204 Bridgeway Street, Aurora IN 47001. This licensed professional license is current. The license was granted 08/12/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mary Anna Jansen
Controlled Substance Registration - Physician
License number
01073032B
Date granted
08/12/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
204 Bridgeway Street, Aurora IN 47001
indianalicensing.org
ID 5819772
LAST UPDATED 2024-04-23 18:26:58 UTC

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