License holder summary

Jerry Alvin Dearth is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerry Alvin Dearth is P. O. Box 340, 13430 Main Street, Grabill IN 46741. This licensed professional license is current. The license was granted 07/27/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jerry Alvin Dearth
Controlled Substance Registration - Physician
License number
01029438B
Date granted
07/27/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
P. O. Box 340, 13430 Main Street, Grabill IN 46741
indianalicensing.org
ID 5859383
LAST UPDATED 2024-03-11 23:32:39 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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