Indiana
Professional Licensing Agency
MAXENCE JEANTY
Controlled Substance Registration - Physician
License number
01035516B
Date granted
11/25/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
619 13th Street, Logansport IN 46947
indianalicensing.org
ID 5885374
LAST UPDATED 2026-05-05 01:17:16 UTC
LAST UPDATED 2026-05-05 01:17:16 UTC
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