Indiana
Professional Licensing Agency
Mike Prinkey Jolliffe
Controlled Substance Registration - Physician
License number
01053095C
Date granted
11/14/2000
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSP MED STAFF OFFICE, 411 WEST TIPTON STREET, Seymour IN 47274
indianalicensing.org
ID 5918814
LAST UPDATED 2026-05-16 06:37:03 UTC
LAST UPDATED 2026-05-16 06:37:03 UTC
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