License holder summary

JASON DANIEL COOPER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JASON DANIEL COOPER is 1080 NORTH GREEN STREET SUITE 200, Brownsburg IN 46112. This licensed professional license is current. The license was granted 01/22/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JASON DANIEL COOPER
Controlled Substance Registration - Physician
License number
01047073B
Date granted
01/22/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1080 NORTH GREEN STREET SUITE 200, Brownsburg IN 46112
indianalicensing.org
ID 5828838
LAST UPDATED 2024-02-10 22:02:15 UTC

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