Indiana
Professional Licensing Agency
IRWIN SEYMOUR JACOBS
Controlled Substance Registration - Physician
License number
01041121B
Date granted
02/25/1993
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSPITAL, ROUTE 2, LOGANSPORT IN 46947
indianalicensing.org
ID 5885075
LAST UPDATED 2024-03-24 12:17:46 UTC
LAST UPDATED 2024-03-24 12:17:46 UTC
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