Indiana
Professional Licensing Agency
Milton S. Jackson
Controlled Substance Registration - Physician
License number
01069706B
Date granted
06/08/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana University Health Place, 642 W Hospital Road, PO BOX 499, Paoli IN 47454
indianalicensing.org
ID 5908891
LAST UPDATED 2024-01-22 07:30:56 UTC
LAST UPDATED 2024-01-22 07:30:56 UTC
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