JAC ALAN COOPER
Controlled Substance Registration - Physician
Indiana 01035869B Active
This Indiana license is held by JAC ALAN COOPER. The license is currently active. It was granted on 08/09/1988 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01035869B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/09/1988 (almost 38 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
ASSOCIATES IN SURGERY INC, 3630 Willowcreek Road Suite 3, Portage IN 46368
Are you JAC ALAN COOPER? Show the world that you're licensed by displaying your personal badge.
Get Badge