Indiana
Professional Licensing Agency
Theodora Ellen Jenkins
Controlled Substance Registration-Osteopathic Physician
License number
02001255B
Date granted
07/25/1991
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Immediate Care Center, 650 N Girls School Road, Indianapolis IN 46214
indianalicensing.org
ID 5805755
LAST UPDATED 2024-03-01 21:59:35 UTC
LAST UPDATED 2024-03-01 21:59:35 UTC
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