License holder summary

GLORIA J JACKSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GLORIA J JACKSON is 3617 VIRGINIA, GARY IN 46409. This licensed professional license is not current. The license was granted 02/18/1981 and expired on 03/31/1984.

Indiana

Professional Licensing Agency

GLORIA J JACKSON
Controlled Substance Registration - Physician
License number
01030651B
Date granted
02/18/1981
Date expires
03/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3617 VIRGINIA, GARY IN 46409
indianalicensing.org
ID 5856645
LAST UPDATED 2024-02-19 23:34:06 UTC

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