Indiana
Professional Licensing Agency
Jonathan Brent Hanson
Controlled Substance Registration - Physician
License number
01060659B
Date granted
05/04/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
KDH MAIN CAMPUS MEDICAL BUILDING, 1373 EAST STATE RD 62, Madison IN 47250
indianalicensing.org
ID 5886792
LAST UPDATED 2026-04-17 23:47:49 UTC
LAST UPDATED 2026-04-17 23:47:49 UTC
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