Jennifer Lynn Gage
Controlled Substance Registration - Physician
Indiana 01044213D Active
This Indiana license is held by Jennifer Lynn Gage. The license is currently active. It was granted on 11/10/2009 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01044213D
- Category: CSR-Physician
- Status: Active
- Date Granted: 11/10/2009 (over 16 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
c/o LTHC, 615 N. 18th St. Suite# 102, Lafayette IN 47904
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