License holder summary

JACK G WATKINS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JACK G WATKINS is 404 WEST CAMP STREET, LEBANON IN 46052. This licensed professional license is not current. The license was granted 05/26/1994 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

JACK G WATKINS
Controlled Substance Registration - Physician
License number
01042613B
Date granted
05/26/1994
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
404 WEST CAMP STREET, LEBANON IN 46052
indianalicensing.org
ID 5883753
LAST UPDATED 2024-04-14 19:11:36 UTC

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