Jeffrey Alan Penman
Controlled Substance Registration - Physician
Indiana 01036681B Active
This Indiana license is held by Jeffrey Alan Penman. The license is currently active. It was granted on 05/25/1988 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01036681B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/25/1988 (about 38 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Premier Healthcare for Women, 3774 Bayley Drive Ste B, Lafayette IN 47905-8647
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