Jason A. Tackett
Controlled Substance Registration-Osteopathic Physician
Indiana 02003277C Expired
This Indiana license was held by Jason A. Tackett. The license is no longer active. It was granted on 12/11/2007 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 02003277C
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/11/2007 (over 17 years ago)
- Expiry Date: 06/30/2009 (about 16 years ago)
LOCATIONS
A Address
St. Mary's Medical Center Emergency Dept., 3700 Washington Ave., Evansville IN 47750