Indiana
Professional Licensing Agency
Jerome E. Melchior
Controlled Substance Registration - Physician
License number
01025507B
Date granted
09/30/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
200 S 6TH STREET, VINCENNES IN 47591
indianalicensing.org
ID 5930921
LAST UPDATED 2024-03-12 10:33:15 UTC
LAST UPDATED 2024-03-12 10:33:15 UTC
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