Indiana
Professional Licensing Agency
DEAN B JACKSON
Controlled Substance Registration - Physician
License number
01013589B
Date granted
08/31/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R #3 BOX 457, ANGOLA IN 46703
indianalicensing.org
ID 5818545
LAST UPDATED 2024-02-02 18:33:54 UTC
LAST UPDATED 2024-02-02 18:33:54 UTC
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