JEFFREY L JACKSON

Controlled Substance Registration - Physician

Indiana  01042822B   Active

This Indiana license is held by JEFFREY L JACKSON. The license is currently active. It was granted on 07/01/1994 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01042822B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/01/1994 (about 32 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

BLOOMINGTON HOSPITAL, 601 WEST 2ND STREET, BLOOMINGTON IN 47403