License holder summary

MICHAEL J JERVA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MICHAEL J JERVA is U S HIGHWAY 30, DYER IN 46311. This licensed professional license is not current. The license was granted 02/23/1987 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

MICHAEL J JERVA
Controlled Substance Registration - Physician
License number
01034920B
Date granted
02/23/1987
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
U S HIGHWAY 30, DYER IN 46311
indianalicensing.org
ID 5844500
LAST UPDATED 2024-06-01 23:32:48 UTC

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