Indiana
Professional Licensing Agency
Jaro Mayda, II
Controlled Substance Registration - Physician
License number
01052526B
Date granted
06/26/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3611 South Reed Road #105, Kokomo IN 46902
indianalicensing.org
ID 5876270
LAST UPDATED 2024-03-01 02:04:55 UTC
LAST UPDATED 2024-03-01 02:04:55 UTC
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