License holder summary

JACK DAWSON WHITAKER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JACK DAWSON WHITAKER is LAB COMMUNITY HOSPITAL, 1515 NORTH MADISON AVENUE, ANDERSON IN 46012. This licensed professional license is not current. The license was granted 07/15/1985 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

JACK DAWSON WHITAKER
Controlled Substance Registration - Physician
License number
01019188B
Date granted
07/15/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LAB COMMUNITY HOSPITAL, 1515 NORTH MADISON AVENUE, ANDERSON IN 46012
indianalicensing.org
ID 5817309
LAST UPDATED 2024-04-21 11:33:28 UTC

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