Indiana
Professional Licensing Agency
Jason Jeremy Porter
Controlled Substance Registration - Physician
License number
01054063B
Date granted
01/17/2003
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Sandcrest Family Medicine, 3203 Middle Road, Columbus IN 47203
indianalicensing.org
ID 5836441
LAST UPDATED 2024-02-21 21:34:23 UTC
LAST UPDATED 2024-02-21 21:34:23 UTC
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