Indiana
Professional Licensing Agency
Jason A. Tackett
Controlled Substance Registration-Osteopathic Physician
License number
02003277B
Date granted
11/20/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St. Mary's Medical Center Emergency Dept., 3700 Washington Ave., Evansville IN 47750
indianalicensing.org
ID 5799619
LAST UPDATED 2024-03-12 18:26:01 UTC
LAST UPDATED 2024-03-12 18:26:01 UTC
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