Jason Jeremy Porter
Controlled Substance Registration - Physician
Indiana 01054063B Expired
This Indiana license was held by Jason Jeremy Porter. The license is no longer active. It was granted on 01/17/2003 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01054063B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/17/2003 (over 23 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
Sandcrest Family Medicine, 3203 Middle Road, Columbus IN 47203