Indiana
Professional Licensing Agency
Jack Donald Summerlin
Controlled Substance Registration - Physician
License number
01017561B
Date granted
01/31/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3351 N MERIDIAN ST #100, INDIANAPOLIS IN 46208
indianalicensing.org
ID 5869644
LAST UPDATED 2024-01-28 00:40:44 UTC
LAST UPDATED 2024-01-28 00:40:44 UTC
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