Indiana
Professional Licensing Agency
James Jackson, Jr.
Controlled Substance Registration-Osteopathic Physician
License number
02001724B
Date granted
06/28/1996
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Heart City Health Center, 236 Simpson Avenue, Elkhart IN 46516
indianalicensing.org
ID 5815784
LAST UPDATED 2024-02-02 15:17:44 UTC
LAST UPDATED 2024-02-02 15:17:44 UTC
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