Indiana
Professional Licensing Agency
Jerome E. Holman, Jr.
Controlled Substance Registration - Physician
License number
01014189B
Date granted
03/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3315 EAST 10TH ST, INDIANAPOLIS IN 46201
indianalicensing.org
ID 5869814
LAST UPDATED 2026-04-12 00:26:53 UTC
LAST UPDATED 2026-04-12 00:26:53 UTC
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