Indiana
Professional Licensing Agency
Jacques Robert Leclerc
Controlled Substance Registration - Physician
License number
01046022B
Date granted
06/03/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Wabash Valley Correction Center, 6908 S. Old U.S. Highway 41, Carlisle IN 47838
indianalicensing.org
ID 5829735
LAST UPDATED 2024-05-06 17:10:47 UTC
LAST UPDATED 2024-05-06 17:10:47 UTC
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