Indiana
Professional Licensing Agency
Richard Clark Jenkins
Controlled Substance Registration - Physician
License number
01048055C
Date granted
03/15/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9899 East 126th Street, Fishers IN 46038
indianalicensing.org
ID 5852198
LAST UPDATED 2024-04-13 02:19:46 UTC
LAST UPDATED 2024-04-13 02:19:46 UTC
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