License holder summary

Jason Odell Heaton is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jason Odell Heaton is 1400 S. Lake Park Avenue, Suite 405, Hobart IN 46342. This licensed professional license is not current. The license was granted 02/03/2003 and expired on 06/30/2009.

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

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