License holder summary

Jack Wayne Higgins is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jack Wayne Higgins is 3805 WEST 80 NORTH, KOKOMO IN 46901. This licensed professional license is current. The license was granted 10/31/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jack Wayne Higgins
Controlled Substance Registration - Physician
License number
01020451B
Date granted
10/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3805 WEST 80 NORTH, KOKOMO IN 46901
indianalicensing.org
ID 5876217
LAST UPDATED 2024-03-19 15:53:29 UTC

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