License holder summary

Jennifer Lynn Tackett is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jennifer Lynn Tackett is Ortho Team, 8141 S. Emerson Avenue, Suite A, Indianapolis IN 46234. This licensed professional license is not current. The license was granted 09/24/2010 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Jennifer Lynn Tackett
Controlled Substance Registration-Physician Assistant
License number
10000840B
Date granted
09/24/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Ortho Team, 8141 S. Emerson Avenue, Suite A, Indianapolis IN 46234
indianalicensing.org
ID 8387212
LAST UPDATED 2024-03-07 20:01:24 UTC

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

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