Jason Konrad King

Controlled Substance Registration - Physician

Indiana  01043977B   Active

This Indiana license is held by Jason Konrad King. The license is currently active. It was granted on 08/05/1999 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01043977B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 08/05/1999 (almost 27 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

1100 Southfield Drive, Ste 1210, Plainfield IN 46168