License holder summary

JAY POLHEMUS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAY POLHEMUS is 538 BROADWAY, ANDERSON IN 46018. This licensed professional license is not current. The license was granted 05/18/1987 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

JAY POLHEMUS
Controlled Substance Registration - Physician
License number
01025432B
Date granted
05/18/1987
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
538 BROADWAY, ANDERSON IN 46018
indianalicensing.org
ID 5817399
LAST UPDATED 2024-02-18 06:30:46 UTC

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