Indiana
Professional Licensing Agency
Jon Ryan Jackson
Controlled Substance Registration - Physician
License number
01040442B
Date granted
07/02/1992
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
RUSH MEMORIAL HOSP, 1300 N MAIN STREET, RUSHVILLE IN 46173
indianalicensing.org
ID 5915930
LAST UPDATED 2024-03-13 01:36:18 UTC
LAST UPDATED 2024-03-13 01:36:18 UTC
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