Indiana
Professional Licensing Agency
Joanna M. Jackson
Controlled Substance Registration-Osteopathic Physician
License number
02003343B
Date granted
06/08/2009
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Surgical Hospital of Munster, 7847 Calumet Avenue, Munster IN 46321
indianalicensing.org
ID 5809991
LAST UPDATED 2024-03-22 14:03:47 UTC
LAST UPDATED 2024-03-22 14:03:47 UTC
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