License holder summary

Jamie S Street is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jamie S Street is 4050 WASHINGTON BOULEVARD, INDIANAPOLIS IN 46205. This licensed professional license is not current. The license was granted 11/03/1988 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Jamie S Street
Controlled Substance Registration - Physician
License number
01024994B
Date granted
11/03/1988
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4050 WASHINGTON BOULEVARD, INDIANAPOLIS IN 46205
indianalicensing.org
ID 5869795
LAST UPDATED 2024-02-06 21:54:52 UTC

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