Indiana
Professional Licensing Agency
Richard T. Jackson
Controlled Substance Registration - Podiatrist
License number
07000729C
Date granted
07/29/1991
Date expires
06/30/2001
Class
Controlled Substance Registration - Podiatrist
Status
Expired
Address
FOOT AND ANKLE CLINIC, 1100 S MAIN ST, BLUFFTON IN 46714
indianalicensing.org
ID 8429767
LAST UPDATED 2024-02-14 15:29:45 UTC
LAST UPDATED 2024-02-14 15:29:45 UTC
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