Indiana
Professional Licensing Agency
ROBERT DOSTER JACKSON
Controlled Substance Registration - Physician
License number
01036615B
Date granted
11/24/1992
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSPITAL, STATE ROAD 25 SOUTH, LOGANSPORT IN 46947
indianalicensing.org
ID 5885663
LAST UPDATED 2024-02-26 00:49:27 UTC
LAST UPDATED 2024-02-26 00:49:27 UTC
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