Indiana
Professional Licensing Agency
Brent Arlyn Jacobus
Controlled Substance Registration-Osteopathic Physician
License number
02001090B
Date granted
07/12/1989
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
10607 Randolph Street, Crown Point IN 46307
indianalicensing.org
ID 5797508
LAST UPDATED 2024-02-24 14:40:51 UTC
LAST UPDATED 2024-02-24 14:40:51 UTC
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