JENNIE ELLEN
Controlled Substance Registration - Physician
Indiana 01047420B Expired
This Indiana license was held by JENNIE ELLEN. The license is no longer active. It was granted on 08/28/1997 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01047420B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/28/1997 (almost 27 years ago)
- Expiry Date: 06/30/2001 (about 23 years ago)
LOCATIONS
A Address
SOUTHERN INDIANA REHABILITATION HOSPITAL, 3104 BLACKISTON BLVD, NEW ALBANY IN 47150