Indiana
Professional Licensing Agency
Mollie Jo Jackson
Controlled Substance Registration-Osteopathic Physician
License number
02003644B
Date granted
03/09/2010
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
IU-Clarian Health M200, 1001 W. 10th St. W.Bldg., Indianapolis IN 46202
indianalicensing.org
ID 5805273
LAST UPDATED 2024-02-15 01:45:18 UTC
LAST UPDATED 2024-02-15 01:45:18 UTC
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