License holder summary

JASON MICHAEL BURGETT is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JASON MICHAEL BURGETT is 1345 Unity Place Suite 245, Lafayette IN 47905. This licensed professional license is current. The license was granted 07/31/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JASON MICHAEL BURGETT
Controlled Substance Registration - Physician
License number
01046886B
Date granted
07/31/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1345 Unity Place Suite 245, Lafayette IN 47905
indianalicensing.org
ID 5879695
LAST UPDATED 2026-04-11 08:34:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with JASON MICHAEL BURGETT's work? Add a comment below. You can write anonymously and without having to create an account.

0 Comments

Posting anonymously

Similar names
Trending