Indiana
Professional Licensing Agency
Jack Lee Alexander
Controlled Substance Registration - Physician
License number
01019014B
Date granted
11/30/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
205 NORTH TILLOTSON STE 301, MUNCIE IN 47304
indianalicensing.org
ID 5898396
LAST UPDATED 2024-04-02 19:04:41 UTC
LAST UPDATED 2024-04-02 19:04:41 UTC
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