Kristen Deann Jarvis
Controlled Substance Registration-Osteopathic Physician
Indiana 02003100B Expired
This Indiana license was held by Kristen Deann Jarvis. The license is no longer active. It was granted on 07/17/2006 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 02003100B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/17/2006 (almost 19 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Family Practice Center, 2434 Lake Avenue, Fort Wayne IN 46805