License holder summary

Jerry Ray Powell, II is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerry Ray Powell, II is Tipton Family Practice Associates, INC, 239 Ash Street, Tipton IN 46072. This licensed professional license is current. The license was granted 01/31/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jerry Ray Powell, II
Controlled Substance Registration - Physician
License number
01053633B
Date granted
01/31/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Tipton Family Practice Associates, INC, 239 Ash Street, Tipton IN 46072
indianalicensing.org
ID 5927210
LAST UPDATED 2024-03-24 22:58:15 UTC

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