Indiana
Professional Licensing Agency
Brian Ethan Jacover
Controlled Substance Registration-Osteopathic Physician
License number
02003580B
Date granted
10/09/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
7905 Calumet Avenue, Munster IN 46321
indianalicensing.org
ID 5809850
LAST UPDATED 2024-04-17 03:40:48 UTC
LAST UPDATED 2024-04-17 03:40:48 UTC
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