JACK DAWSON WHITAKER
Controlled Substance Registration - Physician
Indiana 01019188B Expired
This Indiana license was held by JACK DAWSON WHITAKER. The license is no longer active. It was granted on 07/15/1985 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01019188B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/15/1985 (almost 41 years ago)
- Expiry Date: 06/30/2001 (almost 25 years ago)
LOCATIONS
A Address
LAB COMMUNITY HOSPITAL, 1515 NORTH MADISON AVENUE, ANDERSON IN 46012