Indiana
Professional Licensing Agency
Richard Terril Jacobs
Controlled Substance Registration - Physician
License number
01061362B
Date granted
11/24/2008
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
University Health Services/ Athletic Department, 134 St Liam Hall, Notre Dame IN 46556
indianalicensing.org
ID 5908016
LAST UPDATED 2024-04-27 17:19:11 UTC
LAST UPDATED 2024-04-27 17:19:11 UTC
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