License holder summary

Jesse E. Phillips is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jesse E. Phillips is 1791 WEST THIRD STREET, BLOOMINGTON IN 47403. This licensed professional license is current. The license was granted 06/25/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jesse E. Phillips
Controlled Substance Registration - Physician
License number
01040385B
Date granted
06/25/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1791 WEST THIRD STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5824784
LAST UPDATED 2024-01-15 02:09:38 UTC

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