License holder summary

Theodora Ellen Jenkins is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Theodora Ellen Jenkins is Immediate Care Center, 650 N Girls School Road, Indianapolis IN 46214. This licensed professional license is current. The license was granted 07/25/1991 and expired on 10/31/2015.

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 2022-09-11 10:44:27 UTC

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