Indiana
Professional Licensing Agency
MELINDA BROWN JACKSON
Controlled Substance Registration - Physician
License number
01037696B
Date granted
07/03/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4144 Wyntree Drive, Newburgh IN 47630
indianalicensing.org
ID 5905998
LAST UPDATED 2024-02-20 10:05:11 UTC
LAST UPDATED 2024-02-20 10:05:11 UTC
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