License holder summary

JEFFREY L JACKSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JEFFREY L JACKSON is BLOOMINGTON HOSPITAL, 601 WEST 2ND STREET, BLOOMINGTON IN 47403. This licensed professional license is current. The license was granted 07/01/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JEFFREY L JACKSON
Controlled Substance Registration - Physician
License number
01042822B
Date granted
07/01/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
BLOOMINGTON HOSPITAL, 601 WEST 2ND STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5824756
LAST UPDATED 2024-02-04 22:17:19 UTC

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