License holder summary

Jerome Faulker Doss is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerome Faulker Doss is 3209 SUSAN DRIVE, KOKOMO IN 46902. This licensed professional license is not current. The license was granted 10/31/1984 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Jerome Faulker Doss
Controlled Substance Registration - Physician
License number
01018880B
Date granted
10/31/1984
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3209 SUSAN DRIVE, KOKOMO IN 46902
indianalicensing.org
ID 5876319
LAST UPDATED 2024-01-26 14:40:35 UTC

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