BROOKE ASHLEY ANN JACKSON
Controlled Substance Registration - Physician
Indiana 01051872B Expired
This Indiana license was held by BROOKE ASHLEY ANN JACKSON. The license is no longer active. It was granted on 12/22/1999 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01051872B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/22/1999 (over 24 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
FAMILY CARE CENTERS OF INDIANA, 919 MAIN ST STE 201, DYER IN 46311