License holder summary

Hany Joseph Jacob is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Hany Joseph Jacob is IU Health West-Inpatient Medicine/Pulmonary Care, 1115 N Ronald Reagan Parkway, Ste 206, Avon IN 46123-6911. This licensed professional license is current. The license was granted 10/22/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Hany Joseph Jacob
Controlled Substance Registration - Physician
License number
01071855B
Date granted
10/22/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health West-Inpatient Medicine/Pulmonary Care, 1115 N Ronald Reagan Parkway, Ste 206, Avon IN 46123-6911
indianalicensing.org
ID 5820128
LAST UPDATED 2024-03-31 08:16:53 UTC

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