Indiana
Professional Licensing Agency
Jason Odell Heaton
Controlled Substance Registration - Physician
License number
01056990B
Date granted
02/03/2003
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1400 S. Lake Park Avenue, Suite 405, Hobart IN 46342
indianalicensing.org
ID 5867199
LAST UPDATED 2024-03-20 18:07:59 UTC
LAST UPDATED 2024-03-20 18:07:59 UTC
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