Jill Suzanne Hollowell
Controlled Substance Registration-Osteopathic Physician
Indiana 02003136B Expired
This Indiana license was held by Jill Suzanne Hollowell. The license is no longer active. It was granted on 10/23/2006 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 02003136B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 10/23/2006 (over 19 years ago)
- Expiry Date: 06/30/2009 (almost 17 years ago)
LOCATIONS
A Address
North Shore Health Center, 6450 US Hwy 6 PO Box 1430, Portage IN 46368