License holder summary

Jacqueline Renee White is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jacqueline Renee White is 9725 Prairie Avenue, Highland IN 46322. This licensed professional license is not current. The license was granted 03/29/2012 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Jacqueline Renee White
Controlled Substance Registration - Physician
License number
01044778C
Date granted
03/29/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
9725 Prairie Avenue, Highland IN 46322
indianalicensing.org
ID 5866515
LAST UPDATED 2024-03-05 13:13:56 UTC

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