Jennifer Sue Moll-Bennett

Controlled Substance Registration - Physician

Indiana  01069488B   Active

This Indiana license is held by Jennifer Sue Moll-Bennett. The license is currently active. It was granted on 06/29/2011 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01069488B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/29/2011 (about 15 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Indiana University Health, 2900 W 16th Street, Bedford IN 47421