Indiana
Professional Licensing Agency
Jerold Norman Chip
Controlled Substance Registration - Physician
License number
01019735B
Date granted
11/30/1984
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7863 BROADWAY #203, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890553
LAST UPDATED 2024-03-15 13:40:07 UTC
LAST UPDATED 2024-03-15 13:40:07 UTC
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