Indiana
Professional Licensing Agency
Michael Lambert Jackson
Controlled Substance Registration - Physician
License number
01032507B
Date granted
05/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
Scott Memorial Hospital, 2400 East 17th Street, Columbus IN 47201
indianalicensing.org
ID 5836829
LAST UPDATED 2024-04-13 05:47:51 UTC
LAST UPDATED 2024-04-13 05:47:51 UTC
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