Indiana
Professional Licensing Agency
Michael J Jagger
Controlled Substance Registration - Physician
License number
01023464B
Date granted
10/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
611 East Douglas Road, Ste 401, Mishawaka IN 46545
indianalicensing.org
ID 5895619
LAST UPDATED 2024-02-11 23:41:07 UTC
LAST UPDATED 2024-02-11 23:41:07 UTC
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