DOUGLAS ROBERT JENSEN

Controlled Substance Registration - Physician

Indiana  01033365B   Expired

This Indiana license was held by DOUGLAS ROBERT JENSEN. The license is no longer active. It was granted on 07/31/1986 and expired on 07/31/1986

LICENSE DETAILS

  • License Number: 01033365B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 07/31/1986 (almost 38 years ago)
  • Expiry Date: 07/31/1986 (almost 38 years ago)

LOCATIONS

A Address

ELKHART CLINIC, 303 NAPPANEE ST, P O BOX 201, ELKHART IN 46514