License holder summary

Julie C Isham is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Julie C Isham is PHYSICIANS PRIMARY CARE, 1804 EAST 10TH STREET, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 07/28/1997 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Julie C Isham
Controlled Substance Registration - Physician
License number
01046208B
Date granted
07/28/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Surrendered
Address
PHYSICIANS PRIMARY CARE, 1804 EAST 10TH STREET, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873313
LAST UPDATED 2024-01-29 20:10:56 UTC

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