License holder summary

Autumn A. Jackson is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Autumn A. Jackson is Clarian West, 1111 N Ronald Reagan Parkway, Avon IN 46123. This licensed professional license is not current. The license was granted 02/27/2009 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Autumn A. Jackson
Controlled Substance Registration-Physician Assistant
License number
10001069B
Date granted
02/27/2009
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Clarian West, 1111 N Ronald Reagan Parkway, Avon IN 46123
indianalicensing.org
ID 8385730
LAST UPDATED 2024-03-17 07:29:17 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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