License holder summary

Jason Brent Butler is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jason Brent Butler is INTEGRATED MEDICAL WALK IN CLINIC, 3525 MITCHELL ROAD STE B, Bedford IN 47421. This licensed professional license is not current. The license was granted 09/15/1998 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Jason Brent Butler
Controlled Substance Registration - Physician
License number
01049017B
Date granted
09/15/1998
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
INTEGRATED MEDICAL WALK IN CLINIC, 3525 MITCHELL ROAD STE B, Bedford IN 47421
indianalicensing.org
ID 5822266
LAST UPDATED 2024-04-24 05:03:26 UTC

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