Jason Brent Butler
Controlled Substance Registration - Physician
Indiana 01049017B Suspended
This Indiana license was held by Jason Brent Butler. The license is no longer active. It was granted on 09/15/1998 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01049017B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 09/15/1998 (almost 28 years ago)
- Expiry Date: 06/30/2005 (about 21 years ago)
LOCATIONS
A Address
INTEGRATED MEDICAL WALK IN CLINIC, 3525 MITCHELL ROAD STE B, Bedford IN 47421