License holder summary

JAC ALAN COOPER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAC ALAN COOPER is ASSOCIATES IN SURGERY INC, 3630 Willowcreek Road Suite 3, Portage IN 46368. This licensed professional license is current. The license was granted 08/09/1988 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JAC ALAN COOPER
Controlled Substance Registration - Physician
License number
01035869B
Date granted
08/09/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ASSOCIATES IN SURGERY INC, 3630 Willowcreek Road Suite 3, Portage IN 46368
indianalicensing.org
ID 5911038
LAST UPDATED 2024-04-22 13:27:31 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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