Indiana
Professional Licensing Agency
Thomas Logan Jackson
Controlled Substance Registration - Physician
License number
01046379B
Date granted
03/27/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2450 North Park Suite B, Columbus IN 47203
indianalicensing.org
ID 5837363
LAST UPDATED 2024-03-09 19:39:17 UTC
LAST UPDATED 2024-03-09 19:39:17 UTC
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