License holder summary

Derrick Darrell Jeter is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Derrick Darrell Jeter is 801 West Glen Park Avenue, Griffith IN 46319. This licensed professional license is not current. The license was granted 03/25/1993 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Derrick Darrell Jeter
Controlled Substance Registration - Physician
License number
01041204B
Date granted
03/25/1993
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
801 West Glen Park Avenue, Griffith IN 46319
indianalicensing.org
ID 5862920
LAST UPDATED 2024-03-04 08:53:53 UTC

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