Michael Lambert Jackson
Controlled Substance Registration - Physician
Indiana 01032507B Suspended
This Indiana license was held by Michael Lambert Jackson. The license is no longer active. It was granted on 05/31/1986 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01032507B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 05/31/1986 (almost 39 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Scott Memorial Hospital, 2400 East 17th Street, Columbus IN 47201