Indiana
Professional Licensing Agency
JACK TEMPEST COLLINS
Controlled Substance Registration - Physician
License number
01018938B
Date granted
11/30/1985
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CAYLOR-NICKEL CLINIC, BLUFFTON IN 46714
indianalicensing.org
ID 5826537
LAST UPDATED 2024-03-24 06:18:17 UTC
LAST UPDATED 2024-03-24 06:18:17 UTC
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