Indiana
Professional Licensing Agency
Howard Clay Jackson, Jr
Controlled Substance Registration - Physician
License number
01019775B
Date granted
07/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
606 EAST MAIN STREET, MADISON IN 47250
indianalicensing.org
ID 5886668
LAST UPDATED 2024-03-28 07:01:51 UTC
LAST UPDATED 2024-03-28 07:01:51 UTC
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