Indiana
Professional Licensing Agency
James Phillip Jackson
Controlled Substance Registration - Physician
License number
01037752C
Date granted
05/22/1991
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
C / O WILLIAM AESCHLIMAN M D, 155 W EIGHTH ST BOX 250, ROANOKE IN 46783
indianalicensing.org
ID 5914888
LAST UPDATED 2024-04-04 07:09:04 UTC
LAST UPDATED 2024-04-04 07:09:04 UTC
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