Indiana
Professional Licensing Agency
Jerome Leahey
Controlled Substance Registration - Physician
License number
01019789B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
900 North Columbia Street, Union City IN 47390
indianalicensing.org
ID 5927676
LAST UPDATED 2024-03-08 23:32:03 UTC
LAST UPDATED 2024-03-08 23:32:03 UTC
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