Indiana
Professional Licensing Agency
David Louis Jetmore
Controlled Substance Registration - Physician
License number
01023140B
Date granted
12/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
101 S 10th Street, Richmond IN 47374
indianalicensing.org
ID 5912782
LAST UPDATED 2024-05-03 14:50:49 UTC
LAST UPDATED 2024-05-03 14:50:49 UTC
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