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
LAST UPDATED 2024-02-10 22:02:15 UTC
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