License holder summary

Jerrad Paul Zimmerman is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerrad Paul Zimmerman is St. Joseph Reg Med Ctr, Sports Medicine Institute, 230 East Day Road, Ste 150, Mishawaka IN 46545. This licensed professional license is not current. The license was granted 04/14/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Jerrad Paul Zimmerman
Controlled Substance Registration - Physician
License number
01058922B
Date granted
04/14/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Joseph Reg Med Ctr, Sports Medicine Institute, 230 East Day Road, Ste 150, Mishawaka IN 46545
indianalicensing.org
ID 5895187
LAST UPDATED 2024-03-03 23:00:59 UTC

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