Indiana
Professional Licensing Agency
Eassa Robert Jacobs
Controlled Substance Registration - Physician
License number
01018216B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3853 Ironwood Circle, Columbus IN 47203
indianalicensing.org
ID 5836211
LAST UPDATED 2024-04-04 20:11:43 UTC
LAST UPDATED 2024-04-04 20:11:43 UTC
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