Indiana
Professional Licensing Agency
Richard Randall Jacobs
Controlled Substance Registration - Physician
License number
01067878B
Date granted
03/03/2010
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
White River Medical Park, SR 37, Bedford IN 47421
indianalicensing.org
ID 5822555
LAST UPDATED 2024-05-13 09:00:30 UTC
LAST UPDATED 2024-05-13 09:00:30 UTC
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